Organization
EAGLE ROCK THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GREENWOOD (CEO/ OCCUPATIONAL THERAPIST)
(425) 387-1137
Entity
Organization
Contact information
Practice address
2951 US-50 ST. MARY'S BUILDING, ROOM 101, CANON CITY, CO 81212-8121
(425) 387-1137
(719) 434-9895
Mailing address
2335 FOWLER ST, CANON CITY, CO 81212-3931
(425) 387-1137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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