Organization
SAN JUAN HAND THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E SINNOTT-OSWALD MS, OTR, CHT (PRESIDENT)
(970) 247-7711
Entity
Organization
Contact information
Practice address
575 RIVERGATE LANE, SUITE 108, DURANGO, CO 81301-7490
(970) 247-7711
(970) 247-1415
Mailing address
575 RIVERGATE LANE, SUITE 108, DURANGO, CO 81301-7490
(970) 247-7711
(970) 247-1415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19001754
—
CO
01
—
670002078
MEDICARE RAILROAD
—
Enumeration date
11/08/2006
Last updated
04/28/2017
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