GRACE KATHRYN HAZELL

COLORADO SPRINGS, CO
NPI1033411400
Former NameGRACE KATHRYN EDWARDS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32000654A)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: WA  OC 60414053)
224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA 0000532)
Enumeration Date2010-11-17
Last Update Date2016-05-13
Business Address
Ms. GRACE KATHRYN HAZELL COTA
920 S CHELTON RD
COLORADO SPRINGS, CO 80910-2311
Phone number: 719-473-1283
Mailing Address
Ms. GRACE KATHRYN HAZELL COTA
6808 64TH PL NE UNIT A
MARYSVILLE, WA 98270-5313
Phone number: 719-433-0192