| NPI | 1881039451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY DARREN MATSUO PEDERSON Owner 303-579-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 3123) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |