Individual
MARIE LE CUYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1337 GUSDORF RD, TAOS, NM 87571-6294
(575) 758-4337
Mailing address
3101 OLD PECOS TRL UNIT 629, SANTA FE, NM 87505-9540
(575) 770-9362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3944
NM
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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