Individual
AMANDA B BETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5520 N FORK CT, BOULDER, CO 80301-3548
(303) 817-5055
(303) 914-8400
Mailing address
1445 BALSAM AVE, BOULDER, CO 80304-3535
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0001224
CO
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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