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AGNES MIQUELON OTR
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1063804235
Individual Registrant: AGNES MIQUELON OTR
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
22627 SHAWNEE RD. INDIAN HILLS, CO 80454 US
Tel: 330-369-7967 Fax: --
Tel: 330-369-7967 Fax: --
Contact information for business:
PO BOX 345 INDIAN HILLS, CO 80454-0345 US
Tel: 303-697-9677 Fax: --
Tel: 303-697-9677 Fax: --
Registration Information:
NPI: 1063804235
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | CO | 1524 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
