Individual
SOMMER WILDER MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4700 HALE PKWY, DENVER, CO 80220-4045
(806) 690-6146
Mailing address
4397 S FOX ST, ENGLEWOOD, CO 80110-5616
(806) 690-6146
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007231
CO
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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