Organization
INNOVATIONS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH ELI OTR/L (OCCUPATIONAL THERAPIST)
(719) 499-1124
Entity
Organization
Contact information
Practice address
3403 W 7TH ST APT A, GREELEY, CO 80634
(719) 499-1124
Mailing address
3403 W 7TH ST APT A, GREELEY, CO 80634-5143
(719) 499-1124
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0003917
CO
Other
Enumeration date
05/29/2018
Last updated
08/17/2018
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