Individual
SOPHIE MCLEAN SUPERNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 ROYAL VISTA CIR STE 100, WINDSOR, CO 80528-9321
(970) 305-5070
Mailing address
2047 BIRDIE DR, MILLIKEN, CO 80543-9635
(970) 775-3814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0009226
CO
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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