Individual
DR. MATT MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., OTR
Contact information
Practice address
1309 HILLSIDE DR, FORT COLLINS, CO 80524-1974
(970) 420-6448
Mailing address
1309 HILLSIDE DR, FORT COLLINS, CO 80524-1974
(970) 420-6448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2619
CO
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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