Individual
VICKIE GAYLE AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 568-0419
Mailing address
PO BOX 607, WESTCLIFFE, CO 81252-0607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
824
CO
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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