Organization
PIKES PEAK OCCUPATIONAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIENNE ANN MAXEY OTR/L (OCCUPATIONAL THERAPIST)
(719) 339-7673
Entity
Organization
Contact information
Practice address
7100 ROSS DR, COLORADO SPRINGS, CO 80920-3311
(719) 339-7673
(719) 265-3029
Mailing address
7100 ROSS DR, COLORADO SPRINGS, CO 80920-3311
(719) 339-7673
(719) 265-3029
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
996830
CO
225XP0200X
Pediatric Occupational Therapist
Primary
OT-1850
CO
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05509556
—
CO
01
—
996830
LICENSE
CO
Enumeration date
04/04/2008
Last updated
03/26/2014
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