Individual
SUSAN K TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3236 W FONTANERO STREET, COLORADO SPRINGS, CO 80904
(719) 598-1336
Mailing address
7550 ASSISSI HEIGHTS, COLORADO SPRINGS, CO 80919
(719) 598-1336
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0003500
CO
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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