NPI 1073907374

Preston Green, COTA

Practitioner Occupational Therapy Assistant Albuquerque, NM

Practice location

Address: 5900 Forest Hills Dr NE, Albuquerque, NM 87109-4129
Phone: (505) 822-6000
Mailing address: 413 Vista Roja Pl NE, Rio Rancho, NM 87124-1876

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 3086 (NM)

Other Occupational Therapy Assistant providers in New Mexico →

Registry record

NPI: 1073907374
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2015
Record last updated: 25 Mar 2015

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.