Healthcare Provider Details

I. General information

NPI: 1619099025
Provider Name (Legal Business Name): SANTA FE HAND THERAPY LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2007
Last Update Date: 09/11/2023
Certification Date: 09/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 LUISA ST # 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 TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number408
License Number StateNM

VIII. Authorized Official

Name: DAPHNE DOWNING CURRIER
Title or Position: MANAGING MEMBER OTR
Credential: OTR
Phone: 505-986-2838