Individual
JASEL MATIBAG IGNACIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 ACADEMY CIR STE 100, COLORADO SPRINGS, CO 80909-1664
(719) 598-5555
Mailing address
2105 ACADEMY CIR, COLORADO SPRINGS, CO 80909-1663
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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