Individual
CHRISTIAN ROBIN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1685 S 21ST ST, COLORADO SPRINGS, CO 80904-5123
(719) 329-1774
Mailing address
113 QUINCY ST, PUEBLO, CO 81004-4217
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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