Organization
SQUARE PEG THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HOLGATE OTR (OCCUPATIONAL THERAPIST/OWNER)
(303) 589-7458
Entity
Organization
Contact information
Practice address
19501 E MAINSTREET STE 200, PARKER, CO 80138-7408
(303) 589-7458
Mailing address
19501 E MAINSTREET STE 200, PARKER, CO 80138-7408
(303) 589-7458
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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