Individual
AILEEN MARIE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5129 MONARCH CREST WAY, COLORADO SPRINGS, CO 80924-2908
(719) 306-0135
Mailing address
5129 MONARCH CREST WAY, COLORADO SPRINGS, CO 80924-2908
(719) 306-0135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
275238
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275238
MEDICARE
CO
Enumeration date
08/20/2012
Last updated
08/20/2012
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