Individual
MARCUS CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, CLT
Contact information
Practice address
1551 PROFESSIONAL LN UNIT 180, LONGMONT, CO 80501-6970
(720) 986-0850
Mailing address
1551 PROFESSIONAL LN UNIT 180, LONGMONT, CO 80501-6970
(720) 986-0850
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0008030
CO
225X00000X
Occupational Therapist
9671360
ID
225X00000X
Occupational Therapist
OT-1806
WY
Other
Enumeration date
06/24/2024
Last updated
07/29/2025
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