Individual
MRS. KATHERINE ANN SELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LAMKIN ST UNIT 101B, PUEBLO, CO 81003-3476
(719) 253-7727
Mailing address
513 S WOODSTOCK DR, PUEBLO WEST, CO 81007-3258
(719) 547-1851
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002694
CO
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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