SearchColorado224Z00000X

Juan Mendoza, COTA/L

NPI 1811375090 · on the registry since 2015 · sole proprietor

Practice

Address
7360 W Archer Pl
Lakewood, CO 80226
Phone
(720) 432-5826

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-05-08

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 Colorado