Individual
ELLEN DURRANCE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
210 EDWARDS VILLAGE BLVD, EDWARDS, CO 81632-5277
(425) 359-6217
Mailing address
PO BOX 2889, EDWARDS, CO 81632-2889
(425) 359-6217
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006718
CO
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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