NPI 1053020198
Laci Paige Tecklenburg, COTA
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
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.