Individual
KATHLEEN HUSTED-ODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6500 SUNSET GARDENS RD SW, ALAMOSA ES, ALBUQUERQUE, NM 87121-3245
(505) 836-0288
Mailing address
6500 SUNSET GARDENS RD SW, ALAMOSA ES, ALBUQUERQUE, NM 87121-3245
(505) 836-0288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2171
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96108835
—
NM
Enumeration date
03/13/2007
Last updated
07/09/2007
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