Individual
MATTHEW MAGNOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2195 E EGBERT ST, BRIGHTON, CO 80601-2538
(303) 659-1824
Mailing address
383 MONTEZUMA ST, BRIGHTON, CO 80601-4190
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001404
CO
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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