Individual
JUAN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
7360 W ARCHER PL, LAKEWOOD, CO 80226-2000
(720) 432-5826
Mailing address
7360 W ARCHER PL, LAKEWOOD, CO 80226-2000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000424
CO
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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