Individual
MS. JACKOLYN L APODACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1101 LOPEZ RD SW, ALBUQUERQUE, NM 87105-3954
(505) 877-7060
Mailing address
2808 CHARLESTON ST NE, ALBUQUERQUE, NM 87110-2702
(505) 870-7537
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
NM
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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