Organization
MOUNTAIN THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARINA SORENSON MOT, OTR/L (OCCUPATIONAL THERAPIST OWNER)
(720) 216-3832
Entity
Organization
Contact information
Practice address
511 TELLER ST., FRISCO, CO 80443
(720) 216-3832
Mailing address
PO BOX 5185, DILLON, CO 80435-5185
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
OT.0003552
CO
252Y00000X
Early Intervention Provider Agency
Primary
OT.0003552
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5750024
—
CO
Enumeration date
08/01/2013
Last updated
08/01/2013
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