Individual
TAMMI M WILHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1010 LEAD AVE SE, ALBUQUERQUE, NM 87106-5214
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106-4917
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2113
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60030771
—
NM
Enumeration date
06/27/2006
Last updated
04/24/2013
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