LACI PAIGE TECKLENBURG

PUEBLO, CO
NPI1053020198
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0001605)
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
MISS LACI PAIGE TECKLENBURG COTA
4601 EAGLERIDGE PL STE 140
PUEBLO, CO 81008-4101
Phone number: 719-371-0443
Mailing Address
MISS LACI PAIGE TECKLENBURG COTA
4601 EAGLERIDGE PL STE 140
PUEBLO, CO 81008-4101
Phone number: 719-371-0443
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