Individual
MIKA LYNN WALSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1950 S DAYTON ST, AURORA, CO 80247-3452
(303) 745-3664
Mailing address
1210 E COLFAX AVE, SUITE 307, DENVER, CO 80218-2240
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000128
CO
Other
Enumeration date
06/06/2016
Last updated
11/07/2017
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