Individual
THUY LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
304 N RICHARDSON AVE, ROSWELL, NM 88201-4639
(575) 578-0069
(575) 578-0124
Mailing address
304 N RICHARDSON AVE, ROSWELL, NM 88201-4639
(575) 578-0069
(575) 578-0124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3377
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464334279
—
NM
Enumeration date
03/31/2016
Last updated
03/31/2016
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