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1124594254
ZOE D SODERSTROM
PUEBLO, CO
NPI
1124594254
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO 0001087)
Enumeration Date
2018-10-16
Last Update Date
2018-10-16
Business Address
ZOE D SODERSTROM COTA/L
5055 OUTLOOK BLVD
PUEBLO, CO 81008-1388
Phone number: 719-568-9848
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Mailing Address
ZOE D SODERSTROM COTA/L
842 WESTERN DR APT 1C
COLORADO SPRINGS, CO 80915-4017
Phone number: 708-714-0700
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