Individual
MS. HOLLYE A BRONSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1459 JEMEZ LOOP NE, RIO RANCHO, NM 87144-5355
(505) 263-2225
Mailing address
1459 JEMEZ LOOP NE, RIO RANCHO, NM 87144-5355
(505) 263-2225
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1795
NM
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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