Individual
JONATHON LEIGH DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1153 PORTLAND PL APT 2, BOULDER, CO 80304-8220
(505) 239-9647
Mailing address
1153 PORTLAND PL APT 2, BOULDER, CO 80304-8220
(505) 239-9647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0008534
CO
Other
Enumeration date
11/06/2019
Last updated
07/24/2024
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