Organization
RISING FROM ASHES OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH L HAVERLAND OTR/L (SOLE MEMBER/OCCUPATIONAL THERAPIST)
(303) 919-0517
Entity
Organization
Contact information
Practice address
770 W HAMPDEN AVE STE 300, ENGLEWOOD, CO 80110-2199
(303) 919-0517
Mailing address
7446 E LONG CIR, CENTENNIAL, CO 80112-2657
(303) 919-0517
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/07/2017
Last updated
10/07/2017
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