Mary Tedesko, COTA
NPI #1215280235 in Canon City, Colorado
Provider Information
- NPI Number
- 1215280235
- Entity Type
- Individual
- Name
- Mary Tedesko, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Oct 16, 2012
- Last Updated
- Oct 16, 2012
Practice Location
- Address
- 722 S 8TH ST
- City
- Canon City
- State
- Colorado
- ZIP Code
- 81212-4906
- Phone
- (719) 345-4097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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