Individual
ARISSA BEGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
315 W 11TH ST, PUEBLO, CO 81003-2804
(719) 423-3044
Mailing address
315 W 11TH ST, PUEBLO, CO 81003-2804
(719) 423-3044
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA0000658
CO
225X00000X
Occupational Therapist
Primary
OT.00006811
CO
225XP0200X
Pediatric Occupational Therapist
OT.0006811
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29750521
—
CO
Enumeration date
07/29/2015
Last updated
08/02/2023
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