Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL JOSEPH AMUNDSON, COTA
ActiveMICHAEL JOSEPH AMUNDSON, COTA is a Occupational Therapy Assistant healthcare provider located in MIMBRES, New Mexico. NPI 1366862351 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MIMBRES, NM
Registration Details
- NPI Number
- 1366862351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 17, 2014 (12.293606123989 yrs)
- Last Updated
- Apr 17, 2014
- Licenses
-
2773 (NM)211132 (TX)
Practice Information
- Address
-
50 CHAMISA ROAD.MIMBRES, NM, 880490078Browse NM providers · Browse ZIP 88049
- Phone
- 5755362958
- Fax
- 5755362958
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
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.