Individual
LAURA MATLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11177 W 8TH AVE, LAKEWOOD, CO 80215
(720) 595-4133
Mailing address
11177 W 8TH AVE, LAKEWOOD, CO 80215-5575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
04/21/2016
Last updated
10/22/2018
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