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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 Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KIDSBRIDGE OCCUPATIONAL THERAPY

NPI # 1316283187
LBN Legal business name KIDSBRIDGE OCCUPATIONAL THERAPY
Authorized official KRISTEN WIESE - (OWNER/OPERATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/22/2012
Last updated 12/22/2012 - About 13 years ago
Identifiers
NM License # 2414
NM Other 1841473527 NPI FOR INDIVIDUAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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