Organization
US ARMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELLE SELCKE (OTR/L)
(303) 254-8532
Entity
Organization
Contact information
Practice address
2695 E 131ST AVE, THORNTON, CO 80241-2046
(303) 254-8532
Mailing address
2695 E 131ST AVE, THORNTON, CO 80241-2046
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
OT003138
GA
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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