Kokopelli East West Integrated Family Healthcare, LLC
NPI #1396964318 in Rio Rancho, New Mexico
Provider Information
- NPI Number
- 1396964318
- Entity Type
- Organization
- Organization Name
- Kokopelli East West Integrated Family Healthcare, LLC
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2808 MESA RD SE
- City
- Rio Rancho
- State
- New Mexico
- ZIP Code
- 87124-7229
- Phone
- (505) 994-0669
Authorized Official
- Name
- DR. JAMES DALKYU PARK, PT, DOM
- Title
- MANAGING OFFICER
- Phone
- (505) 514-2900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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