Preston Green II C.O.T.A.

NPI 1073907374 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1073907374
Gender Male
Enumeration Date 03/25/2015
Last Updated 03/25/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
5900 FOREST HILLS DR NE
ALBUQUERQUE NM, 87109-4129, US
Phone (505) 822-6000
Fax
Business Location
413 VISTA ROJA PL NE
RIO RANCHO NM, 87124-1876, US
Phone (505) 903-0805
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State New Mexico
License Number 3086
Remove 1073907374 NPI Number
 

According to our database, Mr. Preston Green II C.O.T.A. NPI is 1073907374, taxonomy code is 224Z00000X and license number is 3086, license state is located at New Mexico. Preston Green II C.O.T.A. physically located at 5900 Forest Hills Dr Ne, Albuquerque NM, 87109-4129. NPI Number Preston Green II C.O.T.A. has the Individual type.

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1073907374 NPI number is provided on an as is basis without warranty of any kind. 1073907374 is maintained by the National Plan & Provider Enumeration System. The contents of Preston Green II C.O.T.A. are for informational purposes only.