MICHAEL JOSEPH AMUNDSON

MIMBRES, NM
NPI1366862351
Former NameMICHAEL AMUNDSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  2773)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: TX  211132)
Enumeration Date2014-04-17
Last Update Date2014-04-17
Business Address
-- MICHAEL JOSEPH AMUNDSON COTA
50 CHAMISA ROAD.
MIMBRES, NM 88049-0078
Phone number: 575-536-2958
Mailing Address
-- MICHAEL JOSEPH AMUNDSON COTA
PO BOX 78
MIMBRES, NM 88049-0078
Phone number: 575-536-2958