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Individual

RILEY NICOLE BUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
6653 BLUE SPRUCE ST, FREDERICK, CO 80530-6712
(720) 838-1901
Mailing address
6653 BLUE SPRUCE ST, FREDERICK, CO 80530-6712
(720) 838-1901

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001619
CO

Other

Enumeration date
12/22/2022
Last updated
12/22/2022
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