Individual
MAIGEN MARIE CUMMESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3001 N TAFT AVE, STE. 100, LOVELAND, CO 80538-8307
(970) 663-3222
Mailing address
625 W MULBERRY ST, FORT COLLINS, CO 80521-3627
(415) 497-4249
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3118
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30233763
—
CO
Enumeration date
04/28/2011
Last updated
08/08/2011
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