Individual
CHITOSE HANERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1219
(505) 727-4620
Mailing address
5117 PASTURA PL NW, ALBUQUERQUE, NM 87107-3848
(505) 515-6100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4311
NM
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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