Individual
ELIZABETH LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
10184 E I25 FRONTAGE RD, FIRESTONE, CO 80504-5445
(720) 378-6670
Mailing address
10184 E I25 FRONTAGE RD, FIRESTONE, CO 80504-5445
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0004700
CO
Other
Enumeration date
09/26/2016
Last updated
09/28/2016
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