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Individual

JASMINE DANIELLE-EVANS RIECKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
5446 N ACADEMY BLVD STE 204, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
Mailing address
PO BOX 2305, COLORADO SPRINGS, CO 80901-2305

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
OT.0006339
CO

Other

Enumeration date
03/10/2020
Last updated
03/10/2020
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