Andrew Paul Lastova, OT

NPI #1922657139 in Palisade, Colorado

Provider Information

NPI Number: 1922657139
Entity Type: Individual
Name: Andrew Paul Lastova, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Sep 10, 2019
Last Updated: Sep 10, 2019

Practice Location

Address: 151 EAST 3RD STREET
City: Palisade
State: Colorado
ZIP Code: 81526
Phone: (970) 464-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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