Individual
JANET SUE DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8388
Mailing address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2787
NM
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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