Individual
DENILLE MARIE STOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT R/L
Contact information
Practice address
10501 GOLF COURSE RD NW, ALBUQUERQUE, NM 87114-5019
(505) 727-2179
Mailing address
912 S CAPITAL OF TEXAS HWY, SUITE 225, WEST LAKE HILLS, TX 78746-5264
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
3204
NM
225X00000X
Occupational Therapist
Primary
OT16271
CA
Other
Enumeration date
05/22/2014
Last updated
05/11/2018
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