Individual
MR. BRENDAN GREENHOUSE WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
12213 PECOS ST, WESTMINSTER, CO 80234-3412
(720) 289-3856
Mailing address
1823 W BARBERRY CT, LOUISVILLE, CO 80027-2437
(720) 289-3856
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/12/2017
Last updated
05/07/2020
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