Individual
LIA CARMEL CERVANTES CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7879 RENEGADE HILL DR, COLORADO SPRINGS, CO 80923-3573
(702) 372-0187
Mailing address
7879 RENEGADE HILL DR, COLORADO SPRINGS, CO 80923-3573
(702) 372-0187
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056007642
IL
225X00000X
Occupational Therapist
Primary
2802
CO
Other
Enumeration date
07/27/2008
Last updated
02/26/2013
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