Whalio Doctors

NPI 1124560396

Ty Koniak, COTAL

Practitioner Occupational Therapy Assistant Aurora, CO

Practice location

Address
4552 S Crystal Way Unit F, Aurora, CO 80015-3950
Phone
(217) 781-1228

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA.0000803 (CO)

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.