CHAMA ETHERIDGE

SOCORRO, NM
NPI1972613693
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NM  1969)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
Ms. CHAMA ETHERIDGE OTR L
832 W HWY 60
SOCORRO, NM 87801
Phone number: 505-838-1100
Mailing Address
Ms. CHAMA ETHERIDGE OTR L
1002 WALKWAY PLACE
SOCORRO, NM 87801
Phone number: 505-418-9014
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