Individual
KRISTIN WALLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
835 TENDERFOOT HILL RD, COLORADO SPRINGS, CO 80906-3903
(719) 576-8380
Mailing address
835 TENDERFOOT HILL RD, COLORADO SPRINGS, CO 80906-3903
(719) 576-8380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000543
CO
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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