Individual
MR. MITCHELL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
(505) 242-4656
Mailing address
1509 UNIVERSITY BLVD NE, ALBUQUERQUE, NM 87102-1708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1623
NM
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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