NPI 1790052579

Dawn Marie Theis

Practitioner Occupational Therapy Assistant Pueblo West, CO

Practice location

Address: 566 N Iliff Dr, Pueblo West, CO 81007-1141
Phone: (719) 821-1724

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

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Registry record

NPI: 1790052579
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2011
Record last updated: 22 Nov 2011

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.