Individual
ELLE RABBETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
HIGHWAY 341 #143, LA MADERA, NM 87539
(505) 583-2540
Mailing address
PO BOX 3416, ESPANOLA, NM 87533-3416
(505) 583-2540
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
989
NM
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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