NPI 1851551709

Bryan Cody Determan, COTA

Practitioner Occupational Therapy Assistant Truth Or Consequences, NM

Practice location

Address: 1400 N Silver St, Truth Or Consequences, NM 87901-1957
Phone: (575) 894-7855
Mailing address: 600 W Alameda St, Roswell, NM 88203-4402

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2404 (NM)

Other Occupational Therapy Assistant providers in New Mexico →

Registry record

NPI: 1851551709
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2008
Record last updated: 13 Jun 2008

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.