Individual
ALEA MARIE DEGEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 597-0822
Mailing address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001493
CO
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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