BEULAH KELLYWOOD

SANTA FE, NM
NPI1093136905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  2200)
Enumeration Date2013-12-18
Last Update Date2013-12-18
Business Address
-- BEULAH KELLYWOOD COTA/L
1300 CAMINO SIERRA VIS
SANTA FE, NM 87505-1007
Phone number: 505-467-2504
Mailing Address
-- BEULAH KELLYWOOD COTA/L
PO BOX 93894
ALBUQUERQUE, NM 87199-3894
Phone number: 505-467-2504
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