SUSAN SOPHIA

ALBUQUERQUE, NM
NPI1811045008
Former NameSUSAN MIKULKA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  329)
Enumeration Date2007-01-06
Last Update Date2007-07-09
Business Address
Ms. SUSAN SOPHIA O.T.
2724 MORNINGSIDE DR NE
ALBUQUERQUE, NM 87110-2940
Phone number: 505-883-3102
Mailing Address
Ms. SUSAN SOPHIA O.T.
2724 MORNINGSIDE DR NE
ALBUQUERQUE, NM 87110-2940
Phone number: 505-883-3102
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