Individual
MS. DAIANA MARIA SANTOS-SOUDATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 623-4500
Mailing address
2761 JANITELL RD, COLORADO SPRINGS, CO 80906-4102
(719) 623-4500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006123
CO
225X00000X
Occupational Therapist
OT.0006123
CO
225XP0200X
Pediatric Occupational Therapist
0006123
CO
Other
Enumeration date
08/25/2019
Last updated
03/28/2024
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