| Ilene Mutchnik, OTR/L | |
|
900 Central Ave, Bayard, NM 88023 | |
| (575) 537-4000 | |
| (575) 537-3921 |
| Full Name | Ilene Mutchnik |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 900 Central Ave, Bayard, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245413020 | NPI | - | NPPES |
| Q7036 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 1128 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ilene Mutchnik, OTR/L Po Box 1000, Bayard, NM 88023-1000 Ph: (575) 537-4000 | Ilene Mutchnik, OTR/L 900 Central Ave, Bayard, NM 88023 Ph: (575) 537-4000 |
Ms. Sharon A Brown, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Central, Bayard, NM 88023 Phone: 505-537-4000 Fax: 505-537-3921 | |
Lila Denise Fajardo, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 Central Ave, Bayard, NM 88023 Phone: 575-537-4000 |