Individual
JUDY LORRAINE DARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6020 CONSTITUTION AVE NE, SUITE 4, ALBUQUERQUE, NM 87110-5900
(505) 255-5099
Mailing address
PO BOX 3338, ALBUQUERQUE, NM 87190-3338
(505) 255-5099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1790
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04902203
—
NM
Enumeration date
09/20/2006
Last updated
02/09/2017
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