Individual
CHAD RYAN DESMARTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2616 N HIGH ST, DENVER, CO 80205-4542
(925) 964-3760
Mailing address
2616 N HIGH ST, DENVER, CO 80205-4542
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006606
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0006606
COLORADO DORA
CO
Enumeration date
12/08/2020
Last updated
12/08/2020
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