Individual provider · Type 1 NPI

Chama Etheridge, OTR L

Occupational Therapist · Socorro, NM

NPI number 1972613693 Active

Practice location

832 W Hwy 60
Socorro, NM 87801

Call (505) 838-1100 Map

Fax (505) 838-0394

Mailing address

1002 Walkway Place
Socorro, NM 87801

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1969 (NM)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1972613693

Chama Etheridge, OTR L's National Provider Identifier is 1972613693, issued on Aug 30, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Socorro, NM. The record was last updated on Jul 8, 2007.