Individual
MS. EMILY LOUISE EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
2703 BROADBENT PKWY NE STE J, ALBUQUERQUE, NM 87107-1600
(505) 341-2020
Mailing address
PO BOX 70103, ALBUQUERQUE, NM 87197-0103
(505) 514-5857
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2184
NM
Other
Enumeration date
02/02/2007
Last updated
06/24/2016
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