Individual
MICHAEL GREENWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1301 FORTINO BLVD, PUEBLO, CO 81008-2032
(425) 387-1137
Mailing address
528 YALE PL APT B, CANON CITY, CO 81212-2338
(425) 387-1137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005751
CO
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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