| Ricardo Prado, | |
|
542 16th St, Rawlins, WY 82301-5241 | |
| (307) 324-2759 | |
| Not Available |
| Full Name | Ricardo Prado |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 542 16th St, Rawlins, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679902845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR-1037 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Prado, 5001 Statesman Dr, Irving, TX 75063-2414 Ph: () - | Ricardo Prado, 542 16th St, Rawlins, WY 82301-5241 Ph: (307) 324-2759 |
Elizabeth Demoss, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 | |
Jared Pulliam, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 | |
Ann Marie Marta, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 542 16th St, Rawlins, WY 82301 Phone: 307-324-2759 |