Individual
STEPHANIE DE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1695 LITTLE BEAR CREEK PT., 303, COLORADO SPRINGS, CO 80904-8090
(719) 896-1702
Mailing address
1695 LITTLE BEAR CREEK PT, COLORADO SPRINGS, CO 80904-6837
(719) 896-1702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000994
CO
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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