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Organization

PEDIATRIC THERAPIES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICKIE DEE ANN RICO OTR, ECSE (PRESIDENT)
(720) 530-5469
Entity
Organization

Contact information

Practice address
13083 TEJON CT, WESTMINSTER, CO 80234-3789
(303) 920-4698
Mailing address
13083 TEJON CT, WESTMINSTER, CO 80234-3789
(303) 920-4698

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1025941
CO

Other

Enumeration date
03/04/2011
Last updated
03/04/2011
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