Individual
MARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5100 LINCOLN ST, DENVER, CO 80216-2056
(303) 296-2400
(303) 296-4012
Mailing address
5100 LINCOLN ST, DENVER, CO 80216-2056
(303) 296-2400
(303) 296-4012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0002847
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14554348
—
CO
Enumeration date
11/11/2014
Last updated
11/11/2014
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