MR. Bryan Cody Determan SR., COTA
NPI #1851551709 in Truth Or Consequences, New Mexico
Provider Information
- NPI Number
- 1851551709
- Entity Type
- Individual
- Name
- MR. Bryan Cody Determan SR., COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jun 13, 2008
- Last Updated
- Jun 13, 2008
Practice Location
- Address
- 1400 N SILVER ST
- State
- New Mexico
- ZIP Code
- 87901-1957
- Phone
- (575) 894-7855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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