Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moses Roque, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1063235018

Moses Roque, COTA/L is an Occupational Therapy Assistant in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1321 S Prairie Ave
Pueblo, CO 81005-2307
Phone: (719) 569-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA.0000098 (CO)

Record details

NPI number1063235018
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedNovember 6, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024
Mailing address1321 S Prairie Ave, Pueblo, CO 81005-2307

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