Organization
PUEBLO PEDIATRIC THERAPY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN KYFFIN SCHLEIFER MHS, OTR (OWNER/THERAPIST)
(719) 253-7727
Entity
Organization
Contact information
Practice address
4601 EAGLERIDGE PLACE, SUITE 140, PUEBLO, CO 81008
(719) 253-7727
(719) 253-7729
Mailing address
4601 EAGLERIDGE PLACE, SUITE 140, PUEBLO, CO 81008
(719) 253-7727
(719) 253-7729
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2296
CO
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29750521
—
CO
Enumeration date
02/19/2009
Last updated
03/29/2014
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