Organization
FOOTPRINTS THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY FAWAZ OTR/L (OWNER)
(301) 646-7016
Entity
Organization
Contact information
Practice address
3137 EAGLE DR, FORT COLLINS, CO 80526-2815
(301) 646-7016
Mailing address
3137 EAGLE DR, FORT COLLINS, CO 80526-2815
(301) 646-7016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982236451
—
CO
Enumeration date
04/18/2022
Last updated
04/18/2022
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