Individual
EMILY J MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1021 LA FARGE AVE, LOUISVILLE, CO 80027
(870) 897-7236
Mailing address
1021 LA FARGE AVE, LOUISVILLE, CO 80027
(870) 897-7236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001052
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA.0001052
OCCUPATIONAL THERAPY
CO
Enumeration date
12/29/2020
Last updated
12/29/2020
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