Individual
RYAN JAMES SUMSION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4601 EAGLERIDGE PL STE 140, PUEBLO, CO 81008-4101
(719) 253-7727
Mailing address
3301 BROOKFIELD LN, PUEBLO, CO 81005-3319
(503) 686-8746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001360
CO
224Z00000X
Occupational Therapy Assistant
T-OTA.0000024
CO
Other
Enumeration date
08/07/2020
Last updated
07/21/2022
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