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Individual

MRS. STEPHANIE FEDAK CAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
516 W BIJOU ST, COLORADO SPRINGS, CO 80905-1311
(719) 633-9114
Mailing address
4768 IRON HORSE VILLAS PT, COLORADO SPRINGS, CO 80917-1700
(954) 336-0385

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0006428
CO

Other

Enumeration date
04/21/2021
Last updated
04/21/2021
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