Individual
CHERYL DENISE MOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR
Contact information
Practice address
445 S GILPIN ST, DENVER, CO 80209-2616
(303) 999-8819
(303) 496-0208
Mailing address
PO BOX 460036, DENVER, CO 80246-0036
(303) 999-8819
(303) 496-0208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.0000590
CO
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0000590
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139821
—
CO
Enumeration date
11/15/2008
Last updated
03/10/2016
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