Individual
NICOY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2285 ALPINE DR, ERIE, CO 80516-4684
(720) 456-9074
Mailing address
2285 ALPINE DR, ERIE, CO 80516-4684
(720) 456-9074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
CO
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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