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Contact Information

MICHELLE C DICUS, COTA/L
901 N SANTE FE AVE
FOUNTAIN, CO80817
 Phone: 719-822-0550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for MICHELLE C DICUS · (Female)

NPI # 1871317198
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 11/13/2024
Last updated 11/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CO License # OTA.0001796
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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