Individual
KAYLA ANN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
Mailing address
612 CLEVELAND ST, PUEBLO, CO 81004-1413
(719) 250-4052
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000962
CO
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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