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NPI Code Detail

MEDICARE: AUBRETTE HELEN STEPHENS COTA/L

MEDICARE:   AUBRETTE HELEN STEPHENS  COTA/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOTA.0001604CO

General Provider Information

NPI Number : 1457070757
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBRETTE HELEN STEPHENS COTA/L
Provider Business Mailing Address
First Line : 1940 DIPLOMAT VW APT 1602
Second Line :
City : COLORADO SPGS
State : CO
Zip : 80905-8349
Country : US
Telephone Number : 785-443-0061
Fax Number :
Provider Business Practice Location Address
First Line : 2365 PATRIOT HTS
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-5122
Country : US
Telephone Number : 719-667-5360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2022
Last Update Date : 08/22/2022

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Directions to “ AUBRETTE HELEN STEPHENS COTA/L” Practice Location

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