Individual
AMANDA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5191 S GRANT ST, LITTLETON, CO 80121-1008
(720) 275-6923
Mailing address
5191 S GRANT ST, LITTLETON, CO 80121-1008
(720) 275-6923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA0000739
CO
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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