Individual
MELANIE HACKWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 CERRILLOS RD, SANTA FE, NM 87505-1650
(505) 476-6300
Mailing address
941 CALLE MEJIA APT 1505, SANTA FE, NM 87501-1469
(561) 401-7351
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-2026-0125
NM
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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