Individual
MRS. GENA AVEY TADYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 244-1335
(970) 244-1323
Mailing address
1301 MONUMENT CT, FRUITA, CO 81521-3187
(970) 858-1838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-352
WY
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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