| NPI | 1699142380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NISA RUSSELL LIBBEY Occupational Therapist, Owner 720-308-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 0004073) |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |