Individual
MS. CYNTHIA YVETTE STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
201 LAMKIN ST, UNIT 101B, PUEBLO, CO 81003-3476
(719) 353-7727
(719) 253-7729
Mailing address
380 W BALDWYN DR, PUEBLO WEST, CO 81007-2823
(719) 547-0275
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29750521
—
CO
Enumeration date
09/04/2012
Last updated
09/04/2012
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