# RED WILLOW OCCUPATIONAL MYOFASCIAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386821825
- **Authorized official:** JULIANN HANSON-ZLATEV OTR (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (303) 902-8476

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | NULL | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2008
- **Last updated:** 08/20/2014