Individual
PRATIBHA ANIL NIRGUDKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6301 FOREST HILLS DR NE, PRESBYTERIAN HEALTHPLEX, ALBUQUERQUE, NM 87109-4137
(505) 823-8399
(505) 823-8324
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5483
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3070
NM
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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