Organization
MOUNTAIN KIDS OT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA HEYMAN GODZDANKER MS, OTR/L (OCCUPATIONAL THERAPIST)
(770) 402-8934
Entity
Organization
Contact information
Practice address
2874 POTOSI PL, BROOMFIELD, CO 80023-4659
(770) 402-8934
Mailing address
2874 POTOSI PL, BROOMFIELD, CO 80023-4659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2881
CO
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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