Individual
MRS. KRISTIE RACHELLE KAPUSTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5054 FARRIS CREEK CT, COLORADO SPRINGS, CO 80924-2914
(719) 573-7808
Mailing address
5054 FARRIS CREEK CT, COLORADO SPRINGS, CO 80924-2914
(719) 573-7808
(719) 573-7808
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000105
CO
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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