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Michael Amundson, COTA

NPI 1366862351 · on the registry since 2014

Practice

Address
50 Chamisa Road.
Mimbres, NM 88049
Phone
(575) 536-2958
Fax
(575) 536-2958

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
NM, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico