Individual
AMY CHADWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7282 MOUNT MEEKER RD, LONGMONT, CO 80503-7126
(253) 223-7762
Mailing address
6525 GUNPARK DR STE 370-255, BOULDER, CO 80301-3346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006330
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0006330
CO DEPT. OF REGULATORY AGENCIES, DIVISION OF PROFESSIONS & OCCUPATIONS
CO
Enumeration date
02/25/2020
Last updated
02/25/2020
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