MR. Nathan Pack, MA, OTRL

NPI #1710028485 in Pecos, New Mexico

Provider Information

NPI Number: 1710028485
Entity Type: Individual
Name: MR. Nathan Pack, MA, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: MA, OTRL
Enumeration Date: Feb 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: NORTH HIGHWAY 63
City: Pecos
State: New Mexico
ZIP Code: 87552-0368
Phone: (505) 757-4606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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