Individual
PETER MISTOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3835 HARLAN ST, WHEAT RIDGE, CO 80033-5111
(303) 422-1533
Mailing address
1351 GARFIELD ST, DENVER, CO 80206-2702
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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