Individual
RICARDO PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 16TH ST, RAWLINS, WY 82301-5241
(307) 324-2759
Mailing address
5001 STATESMAN DR, IRVING, TX 75063-2414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-1037
WY
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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