Individual
KASSIDY MARIE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3833 W 127TH AVE, BROOMFIELD, CO 80020-5310
(319) 429-1377
Mailing address
3833 W 127TH AVE, BROOMFIELD, CO 80020-5310
(319) 429-1377
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001532
CO
Other
Enumeration date
01/10/2022
Last updated
01/10/2022
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