| NPI | 1598453854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARYN ALISON DYCKOVA Occupational Therapist 303-324-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2023-04-25 |