Individual
MS. MARY O'TOOLE WELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
3110 SPRINGRIDGE DR, COLORADO SPRINGS, CO 80906-3743
(719) 576-4610
Mailing address
3110 SPRINGRIDGE DR, COLORADO SPRINGS, CO 80906-3743
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1962
CO
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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