NPI 1083994313

Michael Preston Welker, COTA

Practitioner Occupational Therapy Assistant Mesa, AZ

Practice location

Address: 9822 E Empress Ave, Mesa, AZ 85208-5852
Phone: (480) 558-5131

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4873 (AZ)

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Registry record

NPI: 1083994313
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Aug 2011
Record last updated: 31 Aug 2011

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.