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Ms. JOANNE ENRIQUEZ -- COTA

Individual Provider (NPI-1) Active

Occupational Therapy Assistant

Provider Information

NPI Number
1316230691
Provider Type
Individual Provider (NPI-1)
Credentials
COTA
Status
Active

Contact & Location

Address
806 W MAPLE ST, FARMINGTON, NM, 874015631
Phone
(505) 325-2910
Fax
(505) 325-0191

Specialties & Taxonomies

Occupational Therapy Assistant Primary License: NM #2700

All Addresses

MAILING

1612 S. SANTA CRUZ ST.

DEMING, NM, 880300000

(515) 545-3831

LOCATION

806 W MAPLE ST

FARMINGTON, NM, 874015631

(505) 325-2910