Individual
JANIECE T COMMANCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 PROSPECTOR AVE, DURANGO, CO 81301-7940
(970) 828-1414
Mailing address
PO BOX 467, NAGEEZI, NM 87037-0467
(505) 686-0255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA.0001700
CO
224Z00000X
Occupational Therapy Assistant
Primary
OTA22006
NM
Other
Enumeration date
06/15/2023
Last updated
02/27/2025
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