| NPI | 1730699430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH L HAVERLAND Sole Member/Occupational Therapist 303-919-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2017-10-07 |
| Last Update Date | 2017-10-07 |