Individual
YELENA GENCHANOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13121 E 17TH AVE STE C234, AURORA, CO 80045-2596
(303) 724-5266
Mailing address
13121 E 17TH AVE STE C234, AURORA, CO 80045-2596
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004222
CO
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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