Individual
JOELLA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3134 BOBCAT LN, PUEBLO, CO 81005-4019
(719) 334-2132
Mailing address
3134 BOBCAT LN, PUEBLO, CO 81005-4019
(719) 334-2132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000676
CO
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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