Cory Michael Pracht, COTA/L
NPI #1942990775 in Socorro, New Mexico
Provider Information
- NPI Number
- 1942990775
- Entity Type
- Individual
- Name
- Cory Michael Pracht, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- May 15, 2023
- Last Updated
- May 15, 2023
Practice Location
- Address
- 28 ESCONDIDA LN
- City
- Socorro
- State
- New Mexico
- ZIP Code
- 87801-5406
- Phone
- (575) 418-9328
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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