Individual
JORDANN RYLEE GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4630 DOOLEY WAY, COLORADO SPRINGS, CO 80911-3272
(419) 689-4796
Mailing address
4630 DOOLEY WAY, COLORADO SPRINGS, CO 80911-3272
(419) 689-4796
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001734
CO
Other
Enumeration date
11/15/2023
Last updated
11/15/2023
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