Individual
NIKODEM WALKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 EFFINGHAM ST, FORT COLLINS, CO 80526-2343
(773) 742-7428
Mailing address
1730 EFFINGHAM STR, FORT COLLINS, CO 80526
(773) 742-7428
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000771
CO
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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