Organization
E STANISLAV OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISE STANISLAV OT (OWNER)
(443) 812-8288
Entity
Organization
Contact information
Practice address
302 E CHESTER ST STE B, LAFAYETTE, CO 80026-2211
(443) 812-8288
Mailing address
302 E CHESTER ST STE B, LAFAYETTE, CO 80026-2211
(443) 812-8288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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