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Individual

MEGHAN AMANDA DEHERRERA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
15530 E BRONCOS PKWY UNIT 100, CENTENNIAL, CO 80112-7111
(720) 900-7431
Mailing address
15530 E BRONCOS PKWY UNIT 100, CENTENNIAL, CO 80112-7111
(720) 432-2860
(720) 789-2210

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0008355
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000227482
CO
Enumeration date
03/04/2024
Last updated
05/28/2025
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