Organization
HAAKSMA OUTPATIENT THERAPIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA HAAKSMA MA, CCC-SLP (PRESIDENT)
(303) 919-6799
Entity
Organization
Contact information
Practice address
11479 PINE DR OFC 2, PARKER, CO 80134-7308
(303) 840-6374
(303) 374-8290
Mailing address
1818 WHIRLAWAY CT SE, GRAND RAPIDS, MI 49546-8280
(303) 919-6799
(303) 374-8290
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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