Organization
ORTHOMOTION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA BUTRON OTRL (MANAGING DIRECTOR)
(305) 505-5596
Entity
Organization
Contact information
Practice address
1240 PINE ST, SUITE 113, BOULDER, CO 80302-4809
(305) 505-5596
Mailing address
1240 PINE ST, SUITE 113, BOULDER, CO 80302-4809
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT0003373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12439919
CAQH
CO
Enumeration date
09/14/2016
Last updated
09/14/2016
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