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1235780222
THEA PAXTON
FOUNTAIN, CO
NPI
1235780222
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Former Name
THEA SCHUETT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CO 0005800)
Enumeration Date
2019-09-22
Last Update Date
2019-09-22
Business Address
THEA PAXTON OTR/L
8614 SILVER GLEN DR
FOUNTAIN, CO 80817-4067
Phone number: 414-313-4777
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Mailing Address
THEA PAXTON OTR/L
8614 SILVER GLEN DR
FOUNTAIN, CO 80817-4067
Phone number: 414-313-4777
Copy
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