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Individual

MS. CYNTHIA KUEHNLE MACISAAC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1851 SILVER EAGLE CIR, LEADVILLE, CO 80461-9757
(970) 406-8020
Mailing address
1851 SILVER EAGLE CIR, LEADVILLE, CO 80461-9757
(719) 486-1689

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.0001785
CO
225XP0200X
Pediatric Occupational Therapist
Primary
0001785
CO

Other

Enumeration date
01/27/2018
Last updated
01/27/2018
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