Provider Demographics
NPI:1144366980
Name:RDH OCCUPATIONAL THERAPY, P.C.
Entity type:Organization
Organization Name:RDH OCCUPATIONAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, RDH OT PC
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DARYL
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:505-265-4906
Mailing Address - Street 1:PO BOX 3002
Mailing Address - Street 2:
Mailing Address - City:CORRALES
Mailing Address - State:NM
Mailing Address - Zip Code:87048-3002
Mailing Address - Country:US
Mailing Address - Phone:505-265-4906
Mailing Address - Fax:505-265-9146
Practice Address - Street 1:107 ROME LN
Practice Address - Street 2:
Practice Address - City:CORRALES
Practice Address - State:NM
Practice Address - Zip Code:87048-9076
Practice Address - Country:US
Practice Address - Phone:505-265-4906
Practice Address - Fax:505-265-9146
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM1147OtherNM STATE OT LICENSE