Individual
MS. CINDY N IIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
4953 SHADOW RIDGE RD, CASTLE ROCK, CO 80109-8620
(303) 809-2251
Mailing address
4953 SHADOW RIDGE RD, CASTLE ROCK, CO 80109-8620
(303) 809-2251
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1202
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64750582
—
CO
Enumeration date
08/15/2009
Last updated
07/27/2016
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