Individual
DAWN BASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 CLEOPATRA ST, FORT COLLINS, CO 80525-7069
(970) 226-4909
Mailing address
208 CLEOPATRA ST, FORT COLLINS, CO 80525-7069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2057
CO
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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