Individual
ANDREA MASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
508 22ND ST, BOULDER, CO 80302-7911
(610) 223-6829
Mailing address
508 22ND ST, BOULDER, CO 80302-7911
(610) 223-6829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000509
CO
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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