Individual
MARY SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
211 E 3RD AVE, MANCOS, CO 81328-9079
(970) 533-9031
Mailing address
555 RIVERGATE, B1-120, DURANGO, CO 81301-7470
(303) 828-7842
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
314426
CO
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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