Individual
LISA WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2201 S LEMAY AVE, FORT COLLINS, CO 80525-1900
(970) 672-1591
Mailing address
3417 ROSEWOOD LN, JOHNSTOWN, CO 80534-4133
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000869
CO
Other
Enumeration date
01/13/2017
Last updated
01/13/2017
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