| Rising From Ashes Occupational Therapy LLC | |
|
770 W Hampden Ave Ste 300 Englewood CO 80110-2199 | |
| (303) 919-0517 | |
| Not Available |
| Full Name | Rising From Ashes Occupational Therapy LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 770 W Hampden Ave Ste 300, Englewood, Colorado |
| Authorized Official Name and Position | Edith L Haverland (SOLE MEMBER/OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 3039190517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising From Ashes Occupational Therapy LLC 7446 E Long Cir Centennial CO 80112-2657 Ph: (303) 919-0517 | Rising From Ashes Occupational Therapy LLC 770 W Hampden Ave Ste 300 Englewood CO 80110-2199 Ph: (303) 919-0517 |
| NPI Number | 1730699430 |
|---|---|
| Provider Enumeration Date | 10/07/2017 |
| Last Update Date | 10/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730699430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
| 261QR0400X | Clinic/center - Rehabilitation | (NU) | Secondary |
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