Individual
ANA M DO VALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
75 MANHATTAN DR STE 3, BOULDER, CO 80303-4251
(303) 618-5328
Mailing address
120 15TH AVE, LONGMONT, CO 80501-3425
(303) 618-5328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000620
CO
225X00000X
Occupational Therapist
000102
CO
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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