Organization
DADDIOLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE DADDIO MS, OTR/L (OCCUPATIONAL THERAPIST)
(757) 375-0512
Entity
Organization
Contact information
Practice address
1233 SHERMAN DR, LONGMONT, CO 80501-6133
(720) 772-7334
Mailing address
13780 DEL CORSO WAY APT 1523, BROOMFIELD, CO 80020-8414
(757) 375-0512
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900168136
—
CO
Enumeration date
04/24/2019
Last updated
04/24/2019
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