Individual
KELLY MICHELLE PRESTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ED OTR
Contact information
Practice address
6091 S OUEBEC ST, SUITE 200, CENTENNIAL, CO 80111-4521
(303) 504-9945
(303) 504-9946
Mailing address
8423 TABOR CIR, ARVADA, CO 80005-5168
(303) 403-4932
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
649046
ANTHEM
CO
01
—
841465539
TAXI ID
CO
Enumeration date
04/09/2007
Last updated
04/30/2008
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