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1124560396
TY KONIAK
AURORA, CO
NPI
1124560396
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0000803)
Enumeration Date
2016-11-04
Last Update Date
2016-11-04
Business Address
TY KONIAK COTA/L
4552 S CRYSTAL WAY UNIT F
AURORA, CO 80015-3950
Phone number: 217-781-1228
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Mailing Address
TY KONIAK COTA/L
4552 S CRYSTAL WAY UNIT F
AURORA, CO 80015-3950
Phone number: 217-781-1228
Copy
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