IndividualActive
Audrey Petzold, OTR/L
NPI 1700218526 · Pediatric Occupational Therapist · Placitas, NM
Provider details
- NPI number
- 1700218526
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1181 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
32 Cuchilla De Lupe Rd
Placitas, NM 87043-8716
Phone: (505) 867-5203
Approximate (ZIP-level) locationGet directions
Mailing address
32 Cuchilla De Lupe Rd
Placitas, NM 87043-8716
Registry dates
- Enumerated
- 2013-08-02
- Last updated
- 2013-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.