Individual
MARY HOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 855-9900
Mailing address
6400 UPTOWN BLVD NE STE 360, ALBUQUERQUE, NM 87110-4202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3490
NM
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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