Individual
ALEXANDRA WILLIAMS SHANDIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
3485 S CLERMONT ST, DENVER, CO 80222-7224
(303) 518-9834
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0005629
CO
Other
Enumeration date
12/04/2018
Last updated
12/14/2018
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