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Organization

CYNTHIA SHIKO OTR,CMT,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CYNTHIA L SHIKO OTR,CMT (OWNER)
(720) 205-8130
Entity
Organization

Contact information

Practice address
75 MANHATTAN DR, SUITE 101, BOULDER, CO 80303-4254
(720) 205-8130
(720) 304-3523
Mailing address
2472 N FRANKLIN AVE, LOUISVILLE, CO 80027-1217
(720) 205-8130
(720) 304-3523

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
66032270
CO
Enumeration date
04/25/2007
Last updated
06/13/2012
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