| NPI | 1518328137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY JOY JESSOP Otr/L 720-232-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 0002080) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |