Individual
GUADALUPE S PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8301 E PRENTICE AVE, SUITE 207, GREENWOOD VILLAGE, CO 80111-2903
(303) 322-8300
Mailing address
2671 N BIT PL, NOGALES, AZ 85621-3735
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6415
AZ
Other
Enumeration date
01/19/2016
Last updated
11/20/2018
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