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Individual

DARYL ALLDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3514 N FOWLER AVE, SILVER CITY, NM 88061-7210
(575) 388-3127
Mailing address
5760 PENGUIN DR, ROANOKE, VA 24018-4815

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001202
VA
224Z00000X
Occupational Therapy Assistant
Primary
OTA4558
NM

Other

Enumeration date
08/05/2014
Last updated
10/12/2022
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