Organization
PIKES PEAK OCCUPATIONAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE A COOLEY OTR (PRESIDENT)
(719) 339-7673
Entity
Organization
Contact information
Practice address
334 ALLEGHENY PLACE, COLORADO SPRINGS, CO 80919
(719) 339-7673
(719) 390-5950
Mailing address
334 ALLEGHENY PLACE, COLORADO SPRINGS, CO 80919
(719) 339-7673
(719) 390-5950
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
996830
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05509556
—
CO
05
—
65801741
—
CO
Enumeration date
01/24/2006
Last updated
08/22/2020
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