Individual
VIJAYA MOKTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12275 CLAUDE CT UNIT 1235, NORTHGLENN, CO 80241-3365
(443) 912-2720
Mailing address
12275 CLAUDE CT UNIT 1235, NORTHGLENN, CO 80241-3365
(443) 912-2720
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001367
CO
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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