Individual
MRS. REBEKAH ANN VIDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
175 S UNION BLVD, SUITE 255, COLORADO SPRINGS, CO 80910-3113
(719) 305-8232
Mailing address
175 S UNION BLVD, SUITE 255, COLORADO SPRINGS, CO 80910-3113
(719) 305-8232
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0001032
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39601242
—
CO
Enumeration date
01/30/2007
Last updated
09/30/2015
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