Individual
MR. DAVID HARRY SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1400 N SILVER ST, TRUTH OR CONSEQUENCES, NM 87901-1957
(575) 743-1100
Mailing address
2805 CHITALPA CT, 16, SILVER CITY, NM 88061-7876
(575) 544-6734
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2043
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
224Z00000X
—
NM
Enumeration date
06/17/2013
Last updated
06/17/2013
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