MARY LOU L BANNING

BRIGHTON, CO
NPI1972848927
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CO  AA265447)
Enumeration Date2012-12-03
Last Update Date2012-12-03
Business Address
Mrs. MARY LOU L BANNING COTA
4411 MT PRINCETON ST
BRIGHTON, CO 80601-6547
Phone number: 303-503-5739
Mailing Address
Mrs. MARY LOU L BANNING COTA
4411 MT PRINCETON ST
BRIGHTON, CO 80601-6547
Phone number: 303-503-5739
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