Whalio Doctors

NPI 1053020198

Laci Paige Tecklenburg, COTA

Practitioner Occupational Therapy Assistant Pueblo, CO

Practice location

Address
4601 Eagleridge Pl STE 140, Pueblo, CO 81008-4101
Phone
(719) 371-0443
Fax
(719) 253-7729

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA.0001605 (CO)

Registry record

NPI
1053020198
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Nov 2022
Record last updated
17 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.