Individual
DONNY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10101 LAGRIMA DE ORO RD NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
Mailing address
10101 LGRMA ORO RD NE, ALBUQUERQUE, NM 87111-6022
(505) 298-1231
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
242558
KY
224Z00000X
Occupational Therapy Assistant
Primary
OT-2023-0167
NM
Other
Enumeration date
07/22/2022
Last updated
10/17/2023
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