NPI | 1972776565 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIENNE ANN MAXEY Occupational Therapist 719-339-7673 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT-1850) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
225XP0200X Occupational Therapist, Pediatrics (Licence: CO 996830) | |
Enumeration Date | 2008-04-04 |
Last Update Date | 2014-03-26 |