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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. LISA ROSE BACA, COTA

Active

MS. LISA ROSE BACA, COTA is a Occupational Therapy Assistant healthcare provider located in TRINIDAD, Colorado. NPI 1356754725 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · TRINIDAD, CO

Registration Details

NPI Number
1356754725
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2014 (12.15729521901 yrs)
Last Updated
Jun 3, 2014
License
OTA0000191 (CO)

Practice Information

Address
409 BENEDICTA AVE
TRINIDAD, CO, 810822004
Browse CO providers · Browse ZIP 81082
Phone
7196469291
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in TRINIDAD, CO

Name Credential NPI
AMY KARLS 1447709837
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.