Organization
AMARYLLIS THERAPY NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA ANN CLARK OTR/L (PRESIDENT)
(303) 433-0852
Entity
Organization
Contact information
Practice address
4704 HARLAN ST STE 200, DENVER, CO 80212-7417
(303) 433-0852
(303) 477-9223
Mailing address
4704 HARLAN ST STE 200, DENVER, CO 80212-7417
(303) 433-0852
(303) 477-9223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89957229
—
CO
Enumeration date
08/12/2014
Last updated
11/12/2021
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