Individual
MS. JUDY DELAWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR.L
Contact information
Practice address
1139 W ENCLAVE CIR, LOUISVILLE, CO 80027-2902
(303) 898-9339
(303) 379-6909
Mailing address
1139 W ENCLAVE CIR, LOUISVILLE, CO 80027-2902
(303) 898-9339
(303) 379-6909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3290-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25475533
—
CO
05
—
69129231
—
CO
Enumeration date
12/05/2006
Last updated
07/09/2007
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