Individual
CONSTANCE OAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, BS
Contact information
Practice address
750 8TH ST, OLATHE, CO 81425-1805
(970) 464-7500
Mailing address
3210 MEADOWS PKWY UNIT A, MONTROSE, CO 81401-7693
(417) 224-7579
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012025872
MO
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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