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Individual

ROBERT DARYL HOBBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
107 ROME LN, CORRALES, NM 87048-9076
(505) 265-4906
(505) 265-9146
Mailing address
107 ROME LN, CORRALES, NM 87048-9076
(505) 265-4906
(505) 265-9146

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
1147
NM
225X00000X
Occupational Therapist
Primary
OT1147
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1147
NM OT LICENSE
NM
05
D-4022
NM
05
R-9037
NM
Enumeration date
01/29/2007
Last updated
06/03/2024
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