| NPI | 1710285473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKIE DEE ANN RICO President 720-530-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 1025941) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |