Individual
KIMBERLY DAWN PAVLICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 696-7799
Mailing address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 696-7799
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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