Individual
AMANDA IADEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
6901 S YOSEMITE ST STE 208, CENTENNIAL, CO 80112-1488
(248) 470-3192
Mailing address
6901 S YOSEMITE ST STE 208, CENTENNIAL, CO 80112-1488
(248) 470-3192
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0004459
CO
Other
Enumeration date
04/12/2013
Last updated
07/11/2024
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