Individual
BROOKE BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1601 LOWELL BLVD, DENVER, CO 80204-1545
(303) 534-2211
Mailing address
6780 W 19TH PL APT 208, LAKEWOOD, CO 80214-1475
(330) 232-5522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0001543
CO
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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