Organization
GROWFUL PEDIATRIC OCCUPATIONAL THERAPY LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN BROOKE OTD (OCCUPATIONAL THERAPIST)
(720) 352-2777
Entity
Organization
Contact information
Practice address
6861 ROARING FORK TRL, BOULDER, CO 80301-3630
(720) 352-2777
Mailing address
6861 ROARING FORK TRL, BOULDER, CO 80301-3630
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
10/22/2020
Last updated
01/14/2021
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