Organization
DEVELOPMENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL NEWBY OTR/L (OWNER)
(314) 488-4288
Entity
Organization
Contact information
Practice address
305 W MAGNOLIA ST, PMB 321, FORT COLLINS, CO 80521-2804
(314) 488-4288
Mailing address
305 W MAGNOLIA ST, PMB 321, FORT COLLINS, CO 80521-2804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005264
CO
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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