Individual
ALISA HERONEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, OTD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
4699 KITTREDGE ST, UNIT 624, DENVER, CO 80239-5752
(970) 214-4043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0004231
CO
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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