Individual
NICOLE MORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3625 CITADEL DR S, COLORADO SPRINGS, CO 80909-5320
(719) 597-0822
Mailing address
2233 ACADEMY PL STE 200, COLORADO SPRINGS, CO 80909-1666
(719) 597-0822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/11/2014
Last updated
11/12/2024
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