Individual
KRISTA BERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
(505) 632-1823
Mailing address
803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
(505) 632-1823
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020060
NY
225X00000X
Occupational Therapist
46TR00718300
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
4329
NM
Other
Enumeration date
05/15/2018
Last updated
02/16/2024
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