Individual
ELIZABETH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062933
REGISTERED OCCP THEARPIST
CO
Enumeration date
11/22/2006
Last updated
07/08/2007
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