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Individual

MRS. JESSICA GRACE STOKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4500 E CHERRY CREEK SOUTH DR STE 710, GLENDALE, CO 80246-1534
(303) 432-8487
Mailing address
25 SOMMERLYN RD APT 503, COLORADO SPRINGS, CO 80906-3442
(828) 989-5857

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001277
CO

Other

Enumeration date
02/01/2021
Last updated
02/01/2021
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