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Individual

JESSICA KAITLYN GRINDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
3530 PAN AMERICAN FWY NE STE D, ALBUQUERQUE, NM 87107-4793
(505) 888-4469
Mailing address
11 BLACKBERRY LN, LOS LUNAS, NM 87031-9513
(505) 480-9426

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTX22005
NM

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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