Maria Christine Soller, OTR/L | |
312 Broadway Blvd Ne, Albuquerque, NM 87102-3436 | |
(505) 400-5049 | |
Not Available |
Full Name | Maria Christine Soller |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 312 Broadway Blvd Ne, Albuquerque, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407470008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1589 (New Mexico) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871125328 PECOS PAC ID: 2163339722 Enrollment ID: O20200513002524 |
Mailing Address | Practice Location Address |
---|---|
Maria Christine Soller, OTR/L 312 Broadway Blvd Ne, Albuquerque, NM 87102-3436 Ph: (505) 400-5049 | Maria Christine Soller, OTR/L 312 Broadway Blvd Ne, Albuquerque, NM 87102-3436 Ph: (505) 400-5049 |
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