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Individual

MRS. VIRGINIA NICHOLLS ALDEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
111 N PEARL ST, DEMING, NM 88030-3835
(575) 544-4663
(575) 544-4665
Mailing address
3308 GILA CT, DEMING, NM 88030-8673
(575) 545-1913
(575) 546-0061

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
111412
TX
225X00000X
Occupational Therapist
Primary
2427
NM

Other

Enumeration date
12/14/2008
Last updated
12/14/2008
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