Individual
JEANETTE AMELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
327 SPRUCE TRL, BAILEY, CO 80421-2094
(719) 291-7298
Mailing address
327 SPRUCE TRL, BAILEY, CO 80421-2094
(719) 291-7298
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.00000000567
CO
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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