MS. Chama Etheridge, OTR L

NPI #1972613693 in Socorro, New Mexico

Provider Information

NPI Number: 1972613693
Entity Type: Individual
Name: MS. Chama Etheridge, OTR L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR L
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 832 W HWY 60
City: Socorro
State: New Mexico
ZIP Code: 87801
Phone: (505) 838-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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