Individual
MS. RANDI HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
603 E COUNTRY CLUB RD, ROSWELL, NM 88201-7662
(575) 291-5244
Mailing address
603 E COUNTRY CLUB RD, ROSWELL, NM 88201-7662
(575) 291-5244
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3398
NM
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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