Individual
AMALIA BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
5412 IDYLWILD TRL, BOULDER, CO 80301-3571
(303) 579-6149
Mailing address
18 WILDCAT LN, BOULDER, CO 80304-0461
(303) 579-6149
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1070306 NBCOT
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04523245
—
CO
01
—
1070306 NBCOT
LICENSE NUMBER
CO
Enumeration date
05/22/2007
Last updated
07/09/2007
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