SHAWNA LEIGH FORTIN

GREELEY, CO
NPI1073094868
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0000146)
Enumeration Date2018-08-28
Last Update Date2018-08-28
Business Address
SHAWNA LEIGH FORTIN COTA
1051 6TH ST
GREELEY, CO 80631-3278
Phone number: 970-353-0143
Mailing Address
SHAWNA LEIGH FORTIN COTA
2411 49TH AVENUE CT
GREELEY, CO 80634-3705
Phone number: 303-659-7758