Individual
MR. NIKLAAS DAVID JULES ALLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
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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