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Individual

RUTH HELEN BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
201 LAMKIN ST, 101B, PUEBLO, CO 81003-3476
(719) 253-7727
(719) 253-7729
Mailing address
201 LAMKIN ST, 101B, PUEBLO, CO 81003-3476
(719) 253-7727
(719) 253-7729

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
255143
NBCOT
Enumeration date
10/02/2009
Last updated
10/02/2009
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