Individual
MR. THOR RAYMOND SPANGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
MITCHELL ELEMENTARY 10121 COMANCHE NE, ALBUQUERQUE, NM 87111
(505) 299-1937
(505) 296-0012
Mailing address
5112 PASTURA PL NW, ALBUQUERQUE, NM 87107-3849
(505) 345-0805
(505) 345-2534
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1497
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73841
—
NM
Enumeration date
10/25/2006
Last updated
07/08/2007
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