Individual
TERESA MANCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
551 KOKOPELLI BLVD UNIT B, FRUITA, CO 81521-6305
(970) 858-2572
(970) 858-8941
Mailing address
551 KOKOPELLI BLVD UNIT B, FRUITA, CO 81521-6305
(970) 858-2572
(970) 858-8941
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0000607
CO
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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