Individual
MATTHEW BEARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
717 DENNISON PARK LOOP SE, RIO RANCHO, NM 87124-7123
(505) 480-5048
Mailing address
717 DENNISON PARK LOOP SE, RIO RANCHO, NM 87124-7123
(505) 480-5048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3032
NM
Other
Enumeration date
03/25/2017
Last updated
03/25/2017
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