Annette Angela Baca, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Belen, NM
NPI 1003233172 · NPPES record last updated Mar 26, 2014
Key facts
- NPI
- 1003233172
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 3073 (NM)
- Practice address
- 520 N Main St
Belen, NM 87002-3720 - Phone
- (505) 966-1104
- NPI assigned
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3073 | NM | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 3073 | NM | Yes |
Addresses
Primary practice location
520 N Main St
Belen, NM 87002-3720
Mailing address
520 N Main St
Belen, NM 87002-3720
Phone (505) 966-1104
Other providers in Belen, NM
- Julissa Arias
- Leanne Fyfe Armstrong
- Cynthia Augustine
- Belina Avner
- Beverly Ann Babik
- Brenton Baca
- Deborah Susan Baca
- Ermelinda Baca
- Joann Baca
- Timmy Ray Bailey
All providers in Belen, NM · Occupational Therapy Assistant in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.