Individual
MARY J'ANICE MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1345 MEARS DR, COLORADO SPRINGS, CO 80915-2147
(719) 799-3381
Mailing address
1345 MEARS DR, COLORADO SPRINGS, CO 80915-2147
(719) 799-3381
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001124
CO
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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