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Individual

MR. DENVER LEE BYRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR CHT

Contact information

Practice address
100 STOOPS DRIVE, SUITE 280, MONONGAHELA, PA 15063
(724) 483-4263
(724) 483-3154
Mailing address
625 CHERRY TREE LN, UNIONTOWN, PA 15401-8419
(724) 434-2720
(724) 434-2710

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC 00438 OL
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
033189P3D
PA
01
977922
HIGHMARK BLUE SHIELD
PA
01
P000153673
RAILROAD MEDICARE
Enumeration date
01/12/2006
Last updated
06/22/2023
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