Individual
LAUREN MICHELLE WACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
10701 MELODY DR STE 100, NORTHGLENN, CO 80234-4130
(720) 872-6472
Mailing address
10701 MELODY DR STE 100, NORTHGLENN, CO 80234-4130
(647) 272-0872
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0005895
CO
Other
Enumeration date
04/02/2019
Last updated
05/16/2024
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