Organization
ADVANCE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE E BELLEAU MS, OTR (PRESIDENT)
(970) 223-2923
Entity
Organization
Contact information
Practice address
2768 NOTTINGHAM SQ, FORT COLLINS, CO 80526-2589
(970) 223-2923
Mailing address
1125 W DRAKE RD, UNIT B8, FORT COLLINS, CO 80526-6031
(970) 214-1388
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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