Organization
4US2HEAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA RAE DAGUE OTR/L (MANAGING THERAPIST)
(719) 634-1380
Entity
Organization
Contact information
Practice address
702 W KIOWA ST, COLORADO SPRINGS, CO 80905-1422
(719) 271-4583
Mailing address
PO BOX 2354, COLORADO SPRINGS, CO 80901-2354
(719) 634-1380
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2067
CO
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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