Organization
HEARTFULLY BOLDER OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MICHELE LAROCCA OTD, MS, OTR/L, MS (OWNER/OCCUPATIONAL THERAPIST)
(303) 819-1744
Entity
Organization
Contact information
Practice address
637-B SOUTH BROADWAY, #142, BOULDER, CO 80305
(303) 335-0861
Mailing address
637-B SOUTH BROADWAY, #142, BOULDER, CO 80305
(303) 335-0861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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