MS. Lisa Rose Baca, COTA

NPI #1356754725 in Trinidad, Colorado

Provider Information

NPI Number
1356754725
Entity Type
Individual
Name
MS. Lisa Rose Baca, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jun 3, 2014
Last Updated
Jun 3, 2014

Practice Location

Address
409 BENEDICTA AVE
ZIP Code
81082-2004
Phone
(719) 646-9291

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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