Healthcare Provider Details

I. General information

NPI: 1811003841
Provider Name (Legal Business Name): DAPHNE DOWNING CURRIER O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 LUISA ST STE D1
SANTA FE NM
87505-7002
US

IV. Provider business mailing address

1409 LUISA ST STE D1
SANTA FE NM
87505-7002
US

V. Phone/Fax

Practice location:
  • Phone: 505-986-2838
  • Fax: 505-986-2839
Mailing address:
  • Phone: 505-986-2838
  • Fax: 505-986-2839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number408
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number408
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: