Individual
HAZEL THIBEDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 CENTRE AVE, FORT COLLINS, CO 80526-1844
(970) 494-2140
Mailing address
815 CENTRE AVE, FORT COLLINS, CO 80526-1844
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0000638
CO
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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