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Contact Information

AUDREY S PETZOLD, OTR/L
32 CUCHILLA DE LUPE RD
PLACITAS, NM87043-8716
 Phone: 505-867-5203
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Mental Health

225XM0800X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for AUDREY S PETZOLD · (Female)

NPI # 1700218526
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 08/02/2013
Last updated 08/02/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 1181
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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