MS. Sharon Sue Bulthaup, MOTL

NPI #1659594471 in Gallup, New Mexico

Provider Information

NPI Number: 1659594471
Entity Type: Individual
Name: MS. Sharon Sue Bulthaup, MOTL
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MOTL
Enumeration Date: Apr 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1000 E AZTEC AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-5509
Phone: (505) 721-1833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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