Individual
BETHANY GRACE LASSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2430 RESEARCH PKWY STE 205, COLORADO SPRINGS, CO 80920-1093
(719) 623-1795
Mailing address
2430 RESEARCH PKWY STE 205, COLORADO SPRINGS, CO 80920-1093
(719) 623-1795
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT0008476
CO
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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