Individual
NICOLE ALYSSA REICHENBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
232 S JASPER CIR APT 104, AURORA, CO 80017-2055
(570) 428-2499
Mailing address
232 S JASPER CIR APT 104, AURORA, CO 80017-2055
(570) 428-2499
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
.0001249
CO
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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