Individual
KATHY MEYER FENZL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
525 HWY 150, ARROYO SECO, NM 87514-8751
(505) 776-1418
Mailing address
PO BOX 280, 525 HWY 150, ARROYO SECO, NM 87514-0280
(505) 776-1418
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2231
NM
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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