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1093238925
BRIAN WAUTERS
FORT COLLINS, CO
NPI
1093238925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2017-07-23
Last Update Date
2017-07-23
Business Address
Mr. BRIAN WAUTERS OTR
1225 W PROSPECT RD APT C103
FORT COLLINS, CO 80526-3053
Phone number: 515-509-3636
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Mailing Address
Mr. BRIAN WAUTERS OTR
1218 NW VIVION RD
KANSAS CITY, MO 64118-4551
Phone number:
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