Individual
IVY LAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
28 SALT BRUSH ST, DURANGO, CO 81301-6676
(970) 880-0090
Mailing address
28 SALT BRUSH ST, DURANGO, CO 81301-6676
(970) 880-0090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3237
CO
Other
Enumeration date
11/18/2009
Last updated
11/16/2021
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