Individual
JANELLE FOUNTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 W WOODMEN RD, COLORADO SPRINGS, CO 80919-2726
(719) 574-5562
Mailing address
3656 PARKMOOR VILLAGE DR APT B, COLORADO SPRINGS, CO 80917-5213
(714) 349-4834
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006729
CO
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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