Organization
LIGHT FILLED LIFE OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIKA OSMANN MASON OTR/L (OWNER)
(970) 222-9058
Entity
Organization
Contact information
Practice address
1020 LUKE ST STE C, FORT COLLINS, CO 80524-4067
(970) 658-0221
Mailing address
2128 LIBERTY DR, FORT COLLINS, CO 80521-1349
(970) 222-9058
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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