Individual
MARIA PRAVATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23830 COUNTY ROAD 48, LA SALLE, CO 80645-8612
(970) 451-1234
Mailing address
999 N OGDEN ST APT 107, DENVER, CO 80218-2831
(973) 809-3353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007047
CO
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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