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Individual

CAROL LYNN SPICER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1075 EMERALD ST, BROOMFIELD, CO 80020-1849
(303) 579-4050
Mailing address
1075 EMERALD ST, BROOMFIELD, CO 80020-1849
(303) 579-4050

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0001801
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT.0001801
DORA
CO
Enumeration date
01/17/2017
Last updated
01/17/2017
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