SearchColorado224Z00000X

Ty Koniak, COTA/L

NPI 1124560396 · on the registry since 2016

Practice

Address
4552 S Crystal Way Unit F
Aurora, CO 80015
Phone
(217) 781-1228

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-11-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado