Individual
MAYRA SELECT... JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
9550 SAN MATEO BLVD NE, ALBUQUERQUE, NM 87113-2313
(505) 302-6880
Mailing address
2836 RIESLING ST SW, ALBUQUERQUE, NM 87121-5294
(575) 703-9721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT4661
NM
225XP0200X
Pediatric Occupational Therapist
Primary
OT4661
NM
Other
Enumeration date
06/02/2022
Last updated
11/03/2025
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