Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1163 | NM |
NPI | 1003225939 |
---|---|
Provider Name | Sarah Day |
First Address | Albuquerque, NM 87106-3045 |
Second Address | Albuquerque, NM 87106-3045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2014 |
Last Update Date | 05/08/2014 |