Ricardo Prado
Occupational Therapist in Rawlins, WY. Individual provider (NPI-1).
NPI number1679902845
StatusActive
Last updated in NPPESNov 7, 2013
Details
- NPI
- 1679902845
- Entity type
- Individual (NPI-1)
- Name
- Ricardo Prado
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2013
- Last updated
- Nov 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR-1037 | WY | Yes |
Practice location
542 16th StRawlins, WY 82301-5241
Phone 307-324-2759
Mailing address
5001 Statesman DrIrving, TX 75063-2414
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