Individual
DENISE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10915 E 114TH AVE, HENDERSON, CO 80640-7666
(720) 837-6744
Mailing address
10915 E 114TH AVE, HENDERSON, CO 80640-7666
(720) 837-6744
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1960
CO
Other
Enumeration date
07/30/2009
Last updated
12/16/2015
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