Individual
CHRISTINE BEEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
310 BONITA VISTA BLVD, LOS LUNAS, NM 87031
(828) 216-4986
Mailing address
904 PACIFIC AVE SW, ALBUQUERQUE, NM 87102-4060
(828) 216-4986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4019
NM
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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