Individual
MS. CARLY JOY MCCANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
9000 E NICHOLS AVE STE 100, CENTENNIAL, CO 80112-3429
(720) 706-3396
Mailing address
9763 LANE ST, THORNTON, CO 80260-8025
(856) 745-1064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.0005925
CO
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0005925
CO
Other
Enumeration date
11/04/2019
Last updated
12/01/2023
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