Individual
ZOE D SODERSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5055 OUTLOOK BLVD, PUEBLO, CO 81008-1388
(719) 568-9848
Mailing address
842 WESTERN DR APT 1C, COLORADO SPRINGS, CO 80915-4017
(708) 714-0700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001087
CO
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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