Organization
THERAPEUTIC WIRTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK T WIRTH MOT, OTR/L (OCCUPATIONAL THERAPIST)
(847) 204-9270
Entity
Organization
Contact information
Practice address
16429 HOMESTEAD CT, PARKER, CO 80134-9344
(847) 204-9270
Mailing address
16429 HOMESTEAD CT, PARKER, CO 80134-9344
(847) 204-9270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0003876
CO
Other
Enumeration date
11/07/2017
Last updated
11/12/2017
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