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Individual

MS. PATRICIA MARIE HUBAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L CLT LMT

Contact information

Practice address
4300 CARLISLE BLVD NE, SUITE 1, ALBUQUERQUE, NM 87107-4827
(575) 642-7979
Mailing address
412 WELLESLEY DR SE, ALBUQUERQUE, NM 87106-1424
(575) 642-7979

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
225700000X
Massage Therapist
Primary
4590
NM
225X00000X
Occupational Therapist
3362
NM

Other

Enumeration date
03/24/2008
Last updated
01/31/2017
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