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Individual

SCOTT THOMAS REA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
2360 MONTEBELLO SQUARE DR STE C, COLORADO SPRINGS, CO 80918-6901
(719) 599-5330
Mailing address
2360 MONTEBELLO SQUARE DR STE C, COLORADO SPRINGS, CO 80918-6901
(719) 599-5330

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1054234
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
45673250
CO
Enumeration date
10/10/2006
Last updated
07/09/2007
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