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Organization
COLORADO INSTITUTE OF DEVELOPMENTAL PEDIATRICS
Active
Organization
COLORADO INSTITUTE OF DEVELOPMENTAL PEDIATRICS
Active
Other names
Adam's Camp
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA B JOHNSON (BILLING & FINANCE DIRECTOR)
(303) 563-8290
Entity
Organization
Contact information
Practice address
6767 S SPRUCE ST, SUITE 102, CENTENNIAL, CO 80112-1283
(303) 563-8290
Mailing address
6767 S SPRUCE ST, SUITE 102, CENTENNIAL, CO 80112-1283
(303) 563-8290
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
NULL
2251P0200X
Pediatric Physical Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
385H00000X
Respite Care
1544516
CO
Other
Enumeration date
01/29/2008
Last updated
03/30/2017
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