IndividualActive
Melanie Tidman, M.A., OTR/L
NPI 1366487027 · Pediatric Occupational Therapist · Albuquerque, NM
Provider details
- NPI number
- 1366487027
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.A., OTR/L
- Sex
- Female
- License
- NM 106 (NM)
Practice location
521 Vineyard Rd Ne
Albuquerque, NM 87113-1055
Phone: (505) 344-5756
Fax: (505) 341-4810
Mailing address
521 Vineyard Rd Ne
Albuquerque, NM 87113-1055
Registry dates
- Enumerated
- 2006-06-18
- 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.