Individual
MISS MARIA BERNADETTE D'AGROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2727 NELSON RD APT H208, LONGMONT, CO 80503-9387
(970) 263-8209
Mailing address
2727 NELSON RD APT H208, LONGMONT, CO 80503-9387
(970) 263-8209
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0002125
CO
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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