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Individual

ANALISA GUIMARAES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5123 JUAN TABO BLVD NE, ALBUQUERQUE, NM 87111-2672
(505) 292-3333
Mailing address
2111 ALTURA AZUL LN NE, ALBUQUERQUE, NM 87110-5061
(505) 870-9934

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3489
NM
225XP0019X
Physical Rehabilitation Occupational Therapist
3489
NM
225XP0200X
Pediatric Occupational Therapist
3489
NM

Other

Enumeration date
04/14/2016
Last updated
04/14/2016
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