| Iris Madelone Visser, | |
|
1400 Sudderth Dr, Ruidoso, NM 88345-6103 | |
| (505) 257-2368 | |
| (505) 257-2141 |
| Full Name | Iris Madelone Visser |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1400 Sudderth Dr, Ruidoso, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326126699 | NPI | - | NPPES |
| 53970365 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 2081 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Iris Madelone Visser, 1400 Sudderth Dr, Ruidoso, NM 88345-6103 Ph: (505) 257-2368 | Iris Madelone Visser, 1400 Sudderth Dr, Ruidoso, NM 88345-6103 Ph: (505) 257-2368 |
Kathleen Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 | |
Carma Patterson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1400 Sudderth Dr, Ruidoso, NM 88345 Phone: 505-257-2368 Fax: 505-257-2141 | |
Jaretta Burk, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2002 Sudderth Dr, Ruidoso, NM 88345 Phone: 575-257-2368 Fax: 575-257-2141 |