Individual
ROBERT G DAENEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
805 W MIDWAY BLVD, BROOMFIELD, CO 80020-3511
(614) 390-0874
Mailing address
805 W MIDWAY BLVD, BROOMFIELD, CO 80020-3511
(614) 390-0874
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001266
CO
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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