Individual
STEPHANIE REPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6610 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 508-0505
(505) 312-8414
Mailing address
6610 GULTON CT NE, ALBUQUERQUE, NM 87109-4407
(505) 508-0505
(505) 312-8414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3664
NM
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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