Individual
DESIREE INEZ HATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
119 LUNA ST SE, LOS LUNAS, NM 87031-6814
(505) 866-8338
Mailing address
4927 PALOMAS RD, LOS LUNAS, NM 87031-8123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3709
NM
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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