Individual
YTZEL BARRIENTOS GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
406 CAMBRIDGE AVE, HAGERMAN, NM 88232-9610
(575) 752-3279
Mailing address
7014 OLD CHISUM TRL, DEXTER, NM 88230-9691
(575) 420-8659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA22023
NM
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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