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Individual

VLADISLAV MERKULOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTD, OTR/L

Contact information

Practice address
15942 E OTERO CIR, CENTENNIAL, CO 80112-4761
(720) 935-2713
Mailing address
15942 E OTERO CIR, CENTENNIAL, CO 80112-4761
(720) 935-2713

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005170
CO

Other

Enumeration date
03/02/2021
Last updated
03/10/2021
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