Kidsbridge Occupational Therapy
NPI #1316283187 in Los Ranchos, New Mexico
Provider Information
- NPI Number
- 1316283187
- Entity Type
- Organization
- Organization Name
- Kidsbridge Occupational Therapy
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- KIDSBRIDGE OCCUPATIONAL THERAPY
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 22, 2012
- Last Updated
- Dec 22, 2012
Practice Location
- Address
- 1104 SALAMANCA ST NW
- City
- Los Ranchos
- State
- New Mexico
- ZIP Code
- 87107-5626
- Phone
- (505) 908-0717
Authorized Official
- Name
- MRS. KRISTEN S WIESE, MA OTR/L
- Title
- OWNER/OPERATOR
- Phone
- (505) 908-0717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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