Individual
BRENDA TRYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
10604 MIERA DR NW, ALBUQUERQUE, NM 87114
(505) 730-7058
Mailing address
7108 BRINDISI PL NW, ALBUQUERQUE, NM 87114-1332
(505) 730-7058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3706
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3706
NM STATE
NM
Enumeration date
12/30/2017
Last updated
07/07/2024
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