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Individual

HEATHER MARIE TIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2050 S. MAIN STREET, DELTA, CO 81416
(970) 874-9773
Mailing address
12575 2190 RD, ECKERT, CO 81418-9404

Taxonomy

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

Other

Enumeration date
12/04/2012
Last updated
12/04/2012
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