Search › New Mexico › 224Z00000X
Jessica Miranda, COTA/L
NPI 1699219691 · on the registry since 2016 · sole proprietor
Practice
- Address
- 11100 Gibson Blvd Se Unit D75
Albuquerque, NM 87123 - Phone
- (505) 315-4389
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico