Individual
CHARA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8155 SILVER BIRCH DR, COLORADO SPRINGS, CO 80927-4058
(719) 213-6457
Mailing address
12105 AMBASSADOR DR, COLORADO SPRINGS, CO 80921-3642
(719) 488-3661
(719) 488-3877
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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