Individual
AMY E SHOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
122 W ELLSWORTH AVE, DENVER, CO 80223-1624
(303) 725-8785
(303) 531-4908
Mailing address
122 W ELLSWORTH AVE, DENVER, CO 80223-1624
(303) 725-8785
(303) 531-4908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00001
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNIV OF KANSAS
BACHELOR OF SCIENCE
KS
Enumeration date
11/28/2006
Last updated
05/25/2010
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