Individual provider · Type 1 NPI

Moses Roque, COTA/L

Occupational Therapy Assistant · Pueblo, CO

NPI number 1063235018 Active

Practice location

1321 S Prairie Ave
Pueblo, CO 81005-2307

Call (719) 569-4411 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA.0000098 (CO)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1063235018

Moses Roque, COTA/L's National Provider Identifier is 1063235018, issued on Nov 6, 2024. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 6, 2024.