Healthcare Provider Details

I. General information

NPI: 1801790423
Provider Name (Legal Business Name): MRS. CASSANDRA ROSE SIGUA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2375 TELSTAR DR STE 160
COLORADO SPRINGS CO
80920-1043
US

IV. Provider business mailing address

2375 TELSTAR DR STE 160
COLORADO SPRINGS CO
80920-1043
US

V. Phone/Fax

Practice location:
  • Phone: 720-305-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT.0008839
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: