Individual
MRS. MONIQUE UMLAS BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
224 N CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6146
(505) 404-2757
(505) 867-7891
Mailing address
83 KINGS MEADOW DR, SANDIA PARK, NM 87047-8538
(505) 286-0982
(505) 286-0985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
089
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R7066
—
NM
Enumeration date
01/25/2007
Last updated
07/09/2007
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