MOSES ROQUE

PUEBLO, CO
NPI1063235018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0000098)
Enumeration Date2024-11-06
Last Update Date2024-11-06
Business Address
MOSES ROQUE COTA/L
1321 S PRAIRIE AVE
PUEBLO, CO 81005-2307
Phone number: 719-569-4411
Mailing Address
MOSES ROQUE COTA/L
1321 S PRAIRIE AVE
PUEBLO, CO 81005-2307
Phone number: 719-569-4411
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