Individual
MRS. SUSANA T. CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5 QUEMAZON PL., LOS ALAMOS, NM 87544
(505) 663-0629
Mailing address
5 QUEMAZON PL., LOS ALAMOS, NM 87544
(505) 663-0629
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1521
NM
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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