CORY MICHAEL PRACHT

SOCORRO, NM
NPI1942990775
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  3408)
Enumeration Date2023-05-15
Last Update Date2023-05-15
Business Address
CORY MICHAEL PRACHT COTA/L
28 ESCONDIDA LN
SOCORRO, NM 87801-5406
Phone number: 575-418-9328
Mailing Address
CORY MICHAEL PRACHT COTA/L
28 ESCONDIDA LN
SOCORRO, NM 87801-5406
Phone number: 575-418-9328
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