Individual
CARLIE ANN PATASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5085 W 136TH AVE, BROOMFIELD, CO 80023-5701
(303) 247-0542
Mailing address
3244 W 11TH AVENUE DR, BROOMFIELD, CO 80020-6755
(608) 393-3837
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
T-OTA.0000042
CO
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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