Individual
CAROL L MAUPIN-MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1300 COUNTRY CLUB RD, SUITE C, SANTA TERESA, NM 88008-9449
(575) 589-0303
(575) 589-4080
Mailing address
1300 COUNTRY CLUB RD, SUITE C, SANTA TERESA, NM 88008-9449
(575) 589-0303
(575) 589-4080
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107317
TX
225X00000X
Occupational Therapist
2123
NM
Other
Enumeration date
03/05/2007
Last updated
01/28/2013
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