Organization
COLORADO OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE ELIZABETH KORENSTRA METZ MSOTR,L (OCCUPATIONAL THERAPIST)
(616) 635-1720
Entity
Organization
Contact information
Practice address
34520 HIGHWAY 6 #C17, EDWARDS, CO 81632-5033
(616) 635-1720
Mailing address
PO BOX 5033, EDWARDS, CO 81632-5033
(616) 635-1720
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0003354
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94007861
—
CO
Enumeration date
07/21/2015
Last updated
07/21/2015
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