NPI 1124560396
Ty Koniak, COTAL
Practice location
- Address
- 4552 S Crystal Way Unit F, Aurora, CO 80015-3950
- Phone
- (217) 781-1228
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1124560396
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 4 Nov 2016
- Record last updated
- 4 Nov 2016
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.