Matthew Stafford

NPI #1376024877 in Socorro, Texas

Provider Information

NPI Number: 1376024877
Entity Type: Individual
Name: Matthew Stafford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Aug 23, 2018
Last Updated: Aug 23, 2018

Practice Location

Address: 10064 ALAMEDA AVE
City: Socorro
State: Texas
ZIP Code: 79927-1801
Phone: (915) 773-0744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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