Organization
PEEK-A-BOO PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LYNN SHIMKUS MA, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(303) 885-9848
Entity
Organization
Contact information
Practice address
172 S LOWELL BLVD, DENVER, CO 80219-1934
(303) 885-9848
(720) 302-0459
Mailing address
172 S LOWELL BLVD, DENVER, CO 80219-1934
(303) 885-9848
(720) 302-0459
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OT0003580
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03133729
—
CO
Enumeration date
12/15/2013
Last updated
11/25/2015
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