Organization
POSITIVE IMPACT FORT COLLINS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY SMITH OTR/L (OCCUPATIONAL THERAPIST)
(970) 223-1715
Entity
Organization
Contact information
Practice address
7551 TRIANGLE DR, FORT COLLINS, CO 80525-8280
(970) 223-1715
Mailing address
7551 TRIANGLE DR, FORT COLLINS, CO 80525-8280
(970) 223-1715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0000734
CO
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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