Individual
SIERRA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5446 N ACADEMY BLVD STE 204, COLORADO SPRINGS, CO 80918-3669
(719) 598-5555
Mailing address
3720 THUNDERCLOUD DR, COLORADO SPRINGS, CO 80920-4971
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0006999
CO
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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