Individual
SHANE SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1612 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80909-5619
(719) 741-4161
Mailing address
1066 FONTMORE RD APT A, COLORADO SPRINGS, CO 80904-1635
(816) 729-0110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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