Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NATHAN PACK, MA, OTRL
Active Sole ProprietorMR. NATHAN PACK, MA, OTRL is a Occupational Therapist healthcare provider located in PECOS, New Mexico. NPI 1710028485 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · PECOS, NM
Registration Details
- NPI Number
- 1710028485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 8, 2007 (19.470778611103 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2311 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
NORTH HIGHWAY 63PECOS, NM, 875520368Browse NM providers · Browse ZIP 87552
- Phone
- 5057574606
- Primary Specialty
-
Occupational Therapist
225X00000X
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.