Individual
STEPHANIE MARCELLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
15701 E. 1ST AVE., EDUCATIONAL SERVICES CENTER 1 SUITE 1, AURORA, CO 80011
(636) 489-9931
Mailing address
15701 E. 1ST AVE., EDUCATIONAL SERVICES CENTER 1 SUITE 1, AURORA, CO 80011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160618
COLORADO DEPARTMENT OF EDUCATION SPECIAL SERVICE LICENSE
CO
Enumeration date
06/27/2016
Last updated
06/27/2016
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