Individual
RODERICK T WIRTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
16429 HOMESTEAD CT, PARKER, CO 80134-9344
(847) 204-9270
Mailing address
16429 HOMESTEAD CT, PARKER, CO 80134-9344
(847) 204-9270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0003876
CO
Other
Enumeration date
02/09/2010
Last updated
11/08/2017
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