NPI 1093064792

Mary C Edwards, COTA

Practitioner Occupational Therapy Assistant Pueblo West, CO

Practice location

Address: 1168 S Montclair Dr, Pueblo West, CO 81007-2650
Phone: (719) 406-6734

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA.0000414 (CO)

Other Occupational Therapy Assistant providers in Colorado →

Registry record

NPI: 1093064792
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Sep 2012
Record last updated: 8 Jun 2014

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.