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Contact Information

ILENE MUTCHNIK, OTR/L
900 CENTRAL AVE
BAYARD, NM88023
 Phone: 575-537-4000
 Fax: 575-537-3921
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ILENE MUTCHNIK · (Female)

NPI Number 1245413020
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 12/14/2007
Last updated 12/14/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1128
  • NM Medicaid Q7036
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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