Organization
2L THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLENE MARIE TOOL OTR/L (OCCUPATIONAL THERAPIST)
(505) 503-0436
Entity
Organization
Contact information
Practice address
6715 WILLS WAY SW, ALBUQUERQUE, NM 87121-6959
(505) 503-0436
Mailing address
6715 WILLS WAY SW, ALBUQUERQUE, NM 87121-6959
(505) 503-0436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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