NPI 1215280235

Mary Tedesko, COTA

Practitioner Occupational Therapy Assistant Canon City, CO

Practice location

Address: 722 S 8th St, Canon City, CO 81212-4906
Phone: (719) 345-4097
Fax: (719) 345-4098
Mailing address: 722 S 8th St, Canon City, CO 81212

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 1018023 (CO)

Other Occupational Therapy Assistant providers in Colorado →

Registry record

NPI: 1215280235
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Oct 2012
Record last updated: 16 Oct 2012

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.