Individual
ALEXA NELL LIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 597-0822
Mailing address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006647
CO
Other
Enumeration date
12/07/2020
Last updated
06/20/2023
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