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Individual

CHERYL ANN MOSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
8428 BRIAR TRACE DR, CASTLE ROCK, CO 80108-5518
(303) 257-4299
(303) 633-3331
Mailing address
8428 BRIAR TRACE DR, CASTLE ROCK, CO 80108-5518
(303) 257-4299
(303) 633-3331

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1060661
NBCOTA
05
22686533
CO
Enumeration date
01/16/2007
Last updated
07/08/2007
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