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Individual

EDITH L HAVERLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
770 W HAMPDEN AVE STE 300, ENGLEWOOD, CO 80110-2199
(303) 919-0517
(303) 919-0517
Mailing address
7446 E LONG CIR, CENTENNIAL, CO 80112-2657
(303) 919-0517

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
CO
225XP0019X
Physical Rehabilitation Occupational Therapist

Other

Enumeration date
10/04/2017
Last updated
10/04/2017
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