Individual
MS. JEAN ELLEN MALCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR
Contact information
Practice address
1325 S US HIGHWAY 287, BERTHOUD, CO 80513-8268
(970) 213-1114
Mailing address
1325 S US HIGHWAY 287, BERTHOUD, CO 80513-8268
(970) 213-1114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1849
CO
Other
Enumeration date
12/26/2011
Last updated
12/26/2011
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