LEHEA RENAE SCHUPP

GALLUP, NM
NPI1477294551
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  OTA4653)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004112)
Enumeration Date2022-04-05
Last Update Date2022-04-25
Business Address
LEHEA RENAE SCHUPP COTA/L
306 E NIZHONI BLVD
GALLUP, NM 87301-5794
Phone number: 505-863-9551
Mailing Address
LEHEA RENAE SCHUPP COTA/L
113 S OHIO ST
CHRISMAN, IL 61924-1525
Phone number: 217-822-3293