Organization
ONLINE THERAPY SERVICES INC.
Active
Other names
Mariposa Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN MALONE M.A., CCC-SLP (PRESIDENT)
(719) 846-4178
Entity
Organization
Contact information
Practice address
207 E MAIN, TRINIDAD, CO 81082
(719) 846-4178
(719) 846-4179
Mailing address
207 E MAIN ST, TRINIDAD, CO 81082-2710
(719) 846-4178
(719) 846-4179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06351239
—
CO
Enumeration date
03/15/2007
Last updated
06/06/2016
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