Individual
MS. STEPHANIE RAE DIONISIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2611 JONES AVE, PUEBLO, CO 81004-2650
(719) 564-1735
Mailing address
426 JEFFERSON ST, PUEBLO, CO 81004-2320
(719) 320-7452
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000082
CO
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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