Individual
MS. DANUSIA KIDANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
826 CAMINO DEL MONTE REY, SUITE A2, SANTA FE, NM 87505-3977
(505) 954-9940
(505) 954-9946
Mailing address
19 WILOWA LN, SANTA FE, NM 87505-1454
(505) 690-0662
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1562
NM
Other
Enumeration date
11/09/2006
Last updated
12/21/2011
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