LISA ROSE BACA

TRINIDAD, CO
NPI1356754725
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA0000191)
Enumeration Date2014-06-03
Last Update Date2014-06-03
Business Address
Ms. LISA ROSE BACA COTA
409 BENEDICTA AVE
TRINIDAD, CO 81082-2004
Phone number: 719-646-9291
Mailing Address
Ms. LISA ROSE BACA COTA
409 BENEDICTA AVE
TRINIDAD, CO 81082-2004
Phone number: 719-646-9291
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