Individual
MACY GRACE DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10701 MELODY DR STE 100, NORTHGLENN, CO 80234-4133
(303) 999-6078
Mailing address
14516 W 56TH DR, ARVADA, CO 80002-1171
(303) 999-6078
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001879
CO
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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