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Individual

MARISSA SWALBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3530 PAN AMERICAN FWY NE STE D, ALBUQUERQUE, NM 87107-4793
(505) 888-4569
Mailing address
104 FIVE HILLS DR, TIJERAS, NM 87059-7484
(505) 615-9131

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2103
NM

Other

Enumeration date
02/01/2021
Last updated
02/01/2021
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