Organization
JUST FOR KIDS PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE ANN LEWIS OTR (OCCUPATIONAL THERAPIST)
(208) 870-9811
Entity
Organization
Contact information
Practice address
7703 S JACKSON CIR, CENTENNIAL, CO 80122-3518
(208) 870-9811
Mailing address
7703 S JACKSON CIR, CENTENNIAL, CO 80122-3518
(208) 870-9811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
831
CO
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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