| 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 |