Individual
CHRISTINA BERNADETTE KICZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4500 E CHERRY CREEK SOUTH DR STE 710, GLENDALE, CO 80246-1534
(303) 432-8487
Mailing address
5609 AMAYA DR APT 217, LA MESA, CA 91942-3684
(619) 597-9092
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001602
CO
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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