Whalio Doctors

NPI 1033640594

Matthew Beare, COTA

Practitioner Occupational Therapy Assistant Rio Rancho, NM

Practice location

Address
717 Dennison Park Loop SE, Rio Rancho, NM 87124-7123
Phone
(505) 480-5048

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3032 (NM)

Registry record

NPI
1033640594
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Mar 2017
Record last updated
25 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.