Individual
STELLA T BEYERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 W VAN BUREN ST, COLORADO SPRINGS, CO 80907-6713
(719) 475-8686
Mailing address
15752 PAIUTE CIR, MONUMENT, CO 80132-6092
(571) 205-9958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000852
CO
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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