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Organization

KRISTINA SAMPSEL, MOTR/L, S-CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS KRISTINA M SAMPSEL MOTR/L (PRESIDENT)
(505) 321-7804
Entity
Organization

Contact information

Practice address
1849 CALLE LOS VECINOS NW, ALBUQUERQUE, NM 87107-2805
(505) 321-7804
Mailing address
1849 CALLE LOS VECINOS NW, ALBUQUERQUE, NM 87107-2805
(505) 321-7804

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2262
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95070061
NM
Enumeration date
02/21/2012
Last updated
02/21/2012
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