Individual
ROSS T MYNATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.O.T, OTR/L
Contact information
Practice address
6400 UPTOWN BLVD NE, 360- WEST, ALBUQUERQUE, NM 87110-4214
(505) 480-8972
Mailing address
6400 UPTOWN BLVD NE, 360- WEST, ALBUQUERQUE, NM 87110-4214
(505) 480-8972
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2621
NM
Other
Enumeration date
12/05/2009
Last updated
12/05/2009
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