Individual
MRS. ELIZABETH URIBE-AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
2301 YALE BLVD SE, ALBUQUERQUE, NM 87106-4228
(505) 385-8028
Mailing address
10451 CANTACIELO DR NW, ALBUQUERQUE, NM 87114-1461
(505) 366-4477
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT4344
NM
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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