Organization
AGE IN PLACE MOBILE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI HENDERSON OT (OWNER)
(970) 485-4599
Entity
Organization
Contact information
Practice address
86 WEANT BLVD, CARBONDALE, CO 81623-2040
(970) 485-4599
Mailing address
86 WEANT BLVD, CARBONDALE, CO 81623-2040
(970) 485-4599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
11/18/2020
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