Individual
ELLEN DEAUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
7606 N UNION BLVD, COLORADO SPRINGS, CO 80920-3850
(719) 667-0666
(719) 594-5658
Mailing address
7606 N UNION BLVD, COLORADO SPRINGS, CO 80920-3850
(719) 667-0666
(719) 594-5658
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA206235
—
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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