Individual
CAMILLE L SACKETT-WESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1350 CENTRAL AVE, LOS ALAMOS, NM 87544-3244
(505) 662-3384
Mailing address
976 TSANKAWI ST, LOS ALAMOS, NM 87544-2836
(505) 695-4418
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2290
NM
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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