Individual
CYNTHIA ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1942 KIMBARK ST, LONGMONT, CO 80501-1912
(303) 678-5717
Mailing address
1942 KIMBARK ST, LONGMONT, CO 80501-1912
(303) 678-5717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000569
CO
Other
Enumeration date
07/25/2015
Last updated
07/25/2015
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