Individual
AUDREY OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(575) 652-3155
(575) 652-4104
Mailing address
1015 CRAIG CT, LAS CRUCES, NM 88001-2552
(575) 642-6207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216894
TX
Other
Enumeration date
04/11/2019
Last updated
07/23/2021
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