Individual
BENJAMIN ANDREW MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4454 E MAPLEWOOD WAY, CENTENNIAL, CO 80121-3323
(720) 215-0013
Mailing address
4454 E MAPLEWOOD WAY, CENTENNIAL, CO 80121-3323
(720) 215-0013
Taxonomy
Speciality
Code
Description
License number
State
225XE0001X
Environmental Modification Occupational Therapist
1955
CO
225XG0600X
Gerontology Occupational Therapist
1955
CO
225XH1300X
Human Factors Occupational Therapist
Primary
1955
CO
225XN1300X
Neurorehabilitation Occupational Therapist
1955
CO
225XP0019X
Physical Rehabilitation Occupational Therapist
1955
CO
225XP0200X
Pediatric Occupational Therapist
1955
CO
225XR0403X
Driving and Community Mobility Occupational Therapist
1955
CO
Other
Enumeration date
10/16/2012
Last updated
12/20/2023
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