Most Relevant Information
Provider Data
| NPI Number: | 1003176660 |
| Provider Name: | JOHN L CARNAGEY MOT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 2922 |
Most Important Dates
| Enumeration Date: | 05/16/2012 |
| Last Updated: | 05/16/2012 |
Provider Practice Location
911B N CALIFORNIA ST
SOCORRO
NM
878014269
Practice Location Phone/Fax
| Phone: | 5758381000 |
| Fax: |
Provider Mailing Location
614 LA MESA DR
SOCORRO
NM
878014626
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |