Individual
SUSAN LOUISE DYKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 S WEBER ST, COLORADO SPRINGS, CO 80903-2127
(719) 785-3742
Mailing address
6385 CORPORATE DR STE 100, COLORADO SPRINGS, CO 80919-5901
(719) 354-1677
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000873
MI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
06/26/2017
Last updated
06/09/2021
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