Individual
MRS. LISA CHRISTY HELENIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTRL
Contact information
Practice address
200 SANDERS LN, RANCHOS DE TAOS, NM 87557-7809
(505) 737-9328
Mailing address
PO BOX 804, EL PRADO, NM 87529-0804
(505) 737-9328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1565
NM
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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