IndividualActive
Bryan Determan, COTA
NPI 1851551709 · Occupational Therapy Assistant · Truth Or Consequences, NM
Provider details
- NPI number
- 1851551709
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- 2404 (NM)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1400 N Silver St
Truth Or Consequences, NM 87901-1957
Phone: (575) 894-7855
Approximate (ZIP-level) locationGet directions
Mailing address
600 W Alameda St
Roswell, NM 88203-4402
Registry dates
- Enumerated
- 2008-06-13
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.