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Individual

SAVANNAH N MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
3805 ATRISCO DR NW, ALBUQUERQUE, NM 87120-4980
(505) 508-1830
Mailing address
8116 SAN FRANCISCO RD NE, ALBUQUERQUE, NM 87109-4904
(505) 697-8332

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4442
NM

Other

Enumeration date
04/11/2021
Last updated
02/05/2025
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