Individual
KRISTINE RENAE MATTIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1060 BASALT CT, WINDSOR, CO 80550-5549
(970) 674-9226
Mailing address
1060 BASALT CT, WINDSOR, CO 80550-5549
(970) 674-9226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/24/2010
Last updated
11/24/2010
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