Individual
ALLISON QUALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
119 BASTILLE DR, PAGOSA SPRINGS, CO 81147-9388
(970) 731-4330
Mailing address
161 SIDE LAP CT, PAGOSA SPRINGS, CO 81147-7671
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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