Individual
KYLE RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2901 N 12TH ST, GRAND JUNCTION, CO 81506-2811
(970) 243-7211
Mailing address
1201 PRIMROSE LN, WOODSTOCK, GA 30189-6831
(678) 855-2930
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001554
CO
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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