MR. Robert Arthur Sidway, OTR/L

NPI #1700077948 in Truth Or Consequences, New Mexico

Provider Information

NPI Number: 1700077948
Entity Type: Individual
Name: MR. Robert Arthur Sidway, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Aug 5, 2007
Last Updated: Aug 5, 2007

Practice Location

Address: 992 S BROADWAY ST
City: Truth Or Consequences
State: New Mexico
ZIP Code: 87901-3198
Phone: (505) 894-4269

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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