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Andrew Valladares, COTA

Occupational Therapy Assistant in Las Cruces, NM. Individual provider (NPI-1).

NPI number1730831785
StatusActive
Last updated in NPPESNov 16, 2023

Details

NPI
1730831785
Entity type
Individual (NPI-1)
Name
Andrew Valladares
Credential
COTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 21, 2022
Certification date
Nov 16, 2023
Last updated
Nov 16, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant4124NMYes
106S00000X Behavior Technician––

Practice location

505 S Main St Ste 249
Las Cruces, NM 88001-1243

Phone 575-527-5823 · Fax 575-527-5886

Mailing address

505 S Main St
Las Cruces, NM 88001-1206

Phone 575-527-5800

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