Individual
MATISON DIVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
14055 E QUINCY AVE, AURORA, CO 80015-1146
(303) 680-4729
Mailing address
6152 S CRESTVIEW ST, LITTLETON, CO 80120-2843
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006061
CO
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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