Individual
MS. AMY ELIZABETH VANDERVEER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
107 E GEORGIA AVE, GUNNISON, CO 81230-2256
(970) 641-2908
Mailing address
353 MEADOW LARK TRL, GUNNISON, CO 81230-9229
(307) 899-6517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013
WY
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0006107
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MSAHR0399
—
WY
Enumeration date
03/25/2009
Last updated
10/07/2020
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