IndividualActive
Alice Gourd, OT
NPI 1073666558 · Occupational Therapist · Albuquerque, NM
Provider details
- NPI number
- 1073666558
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1661 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
725 Mission Ave Ne
Mission Es
Albuquerque, NM 87107-4909
Phone: (505) 344-5269
Approximate (ZIP-level) locationGet directions
Mailing address
725 Mission Ave Ne
Albuquerque, NM 87107-4909
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.