Organization
VITA CURA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA CORNILLE OTR/L , OTD (MANAGING MEMBER/OWNER)
(616) 566-2342
Entity
Organization
Contact information
Practice address
214 CHEYENNE ST, GOLDEN, CO 80403-1409
(616) 566-2342
Mailing address
P.O. BOX 1115, GOLDEN, CO 80402
(616) 566-2342
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/15/2020
Last updated
03/15/2020
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