Individual
MS. DEEPA DHANDAPANI SANTHANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
4821 CENTRAL AVE NE, ALBUQUERQUE, NM 87108-1226
(505) 266-5557
Mailing address
6701 TESORO PL NE, ALBUQUERQUE, NM 87113-1968
(505) 269-0997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3103
NM
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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