ELLYN MEDRANO COTA/L NPI 1487164125

NPI Information

Ellyn Medrano, COTA/L is a contractor in Albuquerque, NM. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). Ellyn Medrano, COTA/L NPI is 1487164125. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8016 PETROGLYPH AVE NW
ALBUQUERQUE, NM
ZIP 87120-558
Phone: (505) 228-5050
Fax: (505) 214-5009

The enumeration date for this NPI number is 10/9/2017 and was last updated on 10/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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