John L Carnagey MOT

NPI 1003176660 - Occupational Therapist - 225X00000X

NPI Details
NPI 1003176660
Gender Male
Enumeration Date 05/16/2012
Last Updated 05/16/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
911B N CALIFORNIA ST
SOCORRO NM, 87801-4269, US
Phone (575) 838-1000
Fax
Business Location
614 LA MESA DR
SOCORRO NM, 87801-4626, US
Phone
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New Mexico
License Number 2922
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According to our database, Mr. John L Carnagey MOT NPI is 1003176660, taxonomy code is 225X00000X and license number is 2922, license state is located at New Mexico. John L Carnagey MOT physically located at 911b N California St, Socorro NM, 87801-4269. NPI Number John L Carnagey MOT has the Individual type.

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1003176660 NPI number is provided on an as is basis without warranty of any kind. 1003176660 is maintained by the National Plan & Provider Enumeration System. The contents of John L Carnagey MOT are for informational purposes only.