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Organization

RED WILLOW OCCUPATIONAL MYOFASCIAL

Active
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Organization

RED WILLOW OCCUPATIONAL MYOFASCIAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIANN HANSON-ZLATEV OTR (OCCUPATIONAL THERAPIST)
(303) 902-8476
Entity
Organization

Contact information

Practice address
823 S PERRY ST, SUITE 260, CASTLE ROCK, CO 80104-1900
(303) 902-8476
(303) 265-9515
Mailing address
823 S PERRY ST, SUITE 260, CASTLE ROCK, CO 80104-1900
(303) 902-8476
(303) 265-9515

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
NULL
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—

Other

Enumeration date
01/28/2008
Last updated
08/20/2014
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