# RISING FROM ASHES OCCUPATIONAL THERAPY LLC

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

## Provider details

- **NPI number:** 1730699430
- **Authorized official:** EDITH L HAVERLAND OTR/L (SOLE MEMBER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (303) 919-0517

## Contact information

- **Practice address:** 770 W HAMPDEN AVE STE 300, ENGLEWOOD, CO 80110-2199
- **Practice address phone:** (303) 919-0517
- **Mailing address:** 7446 E LONG CIR, CENTENNIAL, CO 80112-2657
- **Mailing address phone:** (303) 919-0517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/07/2017
- **Last updated:** 10/07/2017