Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. AUDREY SUSAN PETZOLD, OTR/L
Active Sole ProprietorMS. AUDREY SUSAN PETZOLD, OTR/L is a Pediatric Occupational Therapist healthcare provider located in PLACITAS, New Mexico. NPI 1700218526 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · PLACITAS, NM
Registration Details
- NPI Number
- 1700218526
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2013 (13.011465258017 yrs)
- Last Updated
- Aug 2, 2013
- Licenses
-
1181 (NM)1181 (NM)1181 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
32 CUCHILLA DE LUPE RDPLACITAS, NM, 870438716Browse NM providers · Browse ZIP 87043
- Phone
- 5058675203
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Mental Health Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
Other Pediatric Occupational Therapist Providers in PLACITAS, NM
| Name | Credential | NPI |
|---|---|---|
| LINDA MCCLAIN | — | 1821135922 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.