National Provider Identifier Database

KIDSBRIDGE OCCUPATIONAL THERAPY
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

KIDSBRIDGE OCCUPATIONAL THERAPY
1104 SALAMANCA ST NW
LOS RANCHOS DE ALBUQUERQUE, NM87107-5626
Phone: 505-908-0717
Fax: 505-344-5553
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for KIDSBRIDGE OCCUPATIONAL THERAPY

NPI Number 1316283187
Legal business name
LBN
KIDSBRIDGE OCCUPATIONAL THERAPY
Authorized official KRISTEN WIESE - (OWNER/OPERATOR)
Entity Organization
Organization subpart Yes
Enumeration date 12/22/2012
Last updated 12/22/2012 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 2414
  • NM Other: 1841473527 NPI FOR INDIVIDUAL

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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