Individual
MR. NIKLAAS DAVID JULES ALLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0000570
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119385600
—
WY
05
—
22009779
—
CO
01
—
P00363678
RR MEDICARE
CO
Enumeration date
11/23/2005
Last updated
10/14/2014
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