Individual
DIANNE SUE BUMPAS HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
2500 ROCKY MOUNTAIN AVE, NORTH MOB, LOVELAND, CO 80538-9004
(970) 495-8450
(970) 624-3392
Mailing address
2500 ROCKY MOUNTAIN AVE, NORTH MOB, LOVELAND, CO 80538-9004
(970) 495-8450
(970) 624-3392
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-1061
CO
Other
Enumeration date
03/19/2009
Last updated
09/22/2016
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