Organization
JUNIPER PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH COUCH OTR/L (OWNER, OCCUPATIONAL THERAPIST)
(217) 493-0219
Entity
Organization
Contact information
Practice address
600 LONGS PEAK AVE APT 219, LONGMONT, CO 80501-4014
(217) 493-0219
Mailing address
600 LONGS PEAK AVE APT 219, LONGMONT, CO 80501-4014
(217) 493-0219
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0004721
CO
Other
Enumeration date
07/20/2018
Last updated
07/20/2018
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