Organization
CRYSTAL ML DELKER OTR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL M DELKER OTR (OWNER/SOLE MEMBER)
(303) 709-7591
Entity
Organization
Contact information
Practice address
205 MCCONNELL CT, LYONS, CO 80540-3804
(303) 709-7591
(303) 823-5607
Mailing address
205 MCCONNELL CT, LYONS, CO 80540-3804
(303) 709-7591
(303) 823-5607
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0004255
CO
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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