Individual
RICHARD ADAM SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2113 26TH AVENUE CT, GREELEY, CO 80634-6618
(970) 631-6083
Mailing address
2113 26TH AVENUE CT, GREELEY, CO 80634-6618
(970) 631-6083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000229
CO
224ZE0001X
Environmental Modification Occupational Therapy Assistant
0000229
CO
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
0000229
CO
Other
Enumeration date
05/24/2017
Last updated
05/24/2017
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