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1871317198
MICHELLE C DICUS
FOUNTAIN, CO
NPI
1871317198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: CO OTA.0001796)
Enumeration Date
2024-11-13
Last Update Date
2024-11-13
Business Address
MICHELLE C DICUS COTA/L
901 N SANTE FE AVE
FOUNTAIN, CO 80817
Phone number: 719-822-0550
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Mailing Address
MICHELLE C DICUS COTA/L
2233 ACADEMY PL STE 200
COLORADO SPRINGS, CO 80909-1666
Phone number:
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