Individual
DANIELLE R ATENCIO-ARCHIBEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
HWY 64 OLD HIGH SCHOOL RD, SHIPROCK, NM 87420-1199
(505) 368-5163
(505) 368-5520
Mailing address
PO BOX 1199, SHIPROCK, NM 87420-1199
(505) 368-5163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4162
NM
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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