Kokopelli East West Integrated Family Healthcare, Llc in Rio Rancho - Occupational Therapy Assistant

Kokopelli East West Integrated Family Healthcare, Llc - NPI 1396964318

Kokopelli East West Integrated Family Healthcare, Llc is a Occupational Therapy Assistant in Rio Rancho, New Mexico. Kokopelli East West Integrated Family Healthcare, Llc practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Kokopelli East West Integrated Family Healthcare, Llc is 1396964318. The last update date is 2020-08-22.

Kokopelli East West Integrated Family Healthcare, Llc's current location address is 2808 Mesa Rd Se, Rio Rancho, New Mexico. You can contact this provider via phone number 5059940669. The mailing address for Kokopelli East West Integrated Family Healthcare, Llc is 2808 Mesa Rd Se, Rio Rancho, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kokopelli East West Integrated Family Healthcare, Llc
Address 2808 Mesa Rd Se, Rio Rancho, New Mexico
Phone Number 5059940669
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGING O
Authorized Official Name Park Dalkyu James
Credentials PT, DOM
Telephone Number 5055142900

NPI Number Detail

NPI Number 1396964318
Provider Enumeration Date 2007-04-25
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2808 Mesa Rd Se
City Rio Rancho
State New Mexico (NM)
Post Code 871247229
Phone Number 5059940669
Fax Number

Provider's Primary Taxonomy Detail

Speciality Occupational Therapy Assistant
Taxonomy 224Z00000X
Licence No 2033
Definition:
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1929182795 NM GROUP NPI

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FAQs about Kokopelli East West Integrated Family Healthcare, Llc

What is the unique 10-digit identifier code issued to Kokopelli East West Integrated Family Healthcare, Llc by the Centers for Medicare & Medicaid Services?

The Kokopelli East West Integrated Family Healthcare, Llc has been assigned the NPI (National Provider Identifier) 1396964318 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Kokopelli East West Integrated Family Healthcare, Llc is located?

The Kokopelli East West Integrated Family Healthcare, Llc is situated at the following address: 2808 Mesa Rd Se, Rio Rancho, NM, 871247229.

What is Kokopelli East West Integrated Family Healthcare, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kokopelli East West Integrated Family Healthcare, Llc is Occupational Therapy Assistant, and the corresponding taxonomy classification code for this specialized field is 224Z00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396964318 to Kokopelli East West Integrated Family Healthcare, Llc?

The Centers for Medicare & Medicaid Services originally issued the 1396964318 to Kokopelli East West Integrated Family Healthcare, Llc on 2007-04-25.

When was the information regarding Kokopelli East West Integrated Family Healthcare, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kokopelli East West Integrated Family Healthcare, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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