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Individual

ALLAN FRIVALDO CABRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3102
NM
225X00000X
Occupational Therapist
Primary
OT4569
NM

Other

Enumeration date
12/04/2013
Last updated
02/02/2022
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