Individual
STEPHANIE ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8970 W 49TH PL, ARVADA, CO 80002-4210
(303) 332-3677
Mailing address
8970 W 49TH PL, ARVADA, CO 80002-4210
(303) 332-3677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000682
CO
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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