Individual
MRS. MISTY JO MUNOZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5800 NIGHT ROSE AVE NW, ALBUQUERQUE, NM 87114-3591
(575) 574-2099
Mailing address
5800 NIGHT ROSE AVE NW, ALBUQUERQUE, NM 87114-3591
(575) 574-2099
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2540
NM
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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