Individual
WILLIAM THOMAS O'HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2719 N UNION BLVD, COLORADO SPRINGS, CO 80909-1145
(719) 633-4286
Mailing address
270 CHILDE DR, COLORADO SPRINGS, CO 80906-4376
(719) 460-3413
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
983766
CO
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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