DESIRAE NICKOLE ORTIZ

PUEBLO, CO
NPI1194549592
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  OTA.0001811)
Enumeration Date2024-11-12
Last Update Date2024-11-12
Business Address
DESIRAE NICKOLE ORTIZ COTA/L
1301 FORTINO BLVD
PUEBLO, CO 81008-2032
Phone number: 719-696-7799
Mailing Address
DESIRAE NICKOLE ORTIZ COTA/L
1706 HOLLYWOOD DR
PUEBLO, CO 81005-2510
Phone number: 719-470-3795
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