Individual
DAWN CHAVEZ MIRANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
301 PERKINS DR STE B, LAS CRUCES, NM 88005-3248
(505) 523-7243
(505) 523-7254
Mailing address
3057 EXECUTIVE HILLS RD, LAS CRUCES, NM 88011-4717
(505) 521-3471
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1066
NM
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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