Individual
RIENA M DUGGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1339 CYPRESS ST, PUEBLO, CO 81004-3130
(710) 320-9811
Mailing address
1339 CYPRESS ST., PUEBLO, CO 81004
(710) 320-9811
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1077018
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077018
MEDICARE
CO
Enumeration date
10/10/2012
Last updated
10/10/2012
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