Individual
MARCIA LEVAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
850 27TH AVE, GREELEY, CO 80634-5807
(970) 353-1018
Mailing address
1185 FLOWERING ALMOND DR, LOVELAND, CO 80538-5650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000722
CO
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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