Individual
COLETTE YOLANDA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1640 WEST REDSTONE CENTER, SUITE 200, PARK CITY, UT 84098
(720) 489-0790
Mailing address
12502 E. EVANS CIRCLE, UNIT B, AURORA, CO 80014
(303) 368-8265
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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