Individual
DAWN MARIE THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
566 N ILIFF DR, PUEBLO WEST, CO 81007-1141
(719) 821-1724
Mailing address
566 N ILIFF DR, PUEBLO WEST, CO 81007-1141
(719) 821-1724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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