Heartfully Bolder Ot, LLC

NPI #1255918843 in Boulder, Colorado

Provider Information

NPI Number: 1255918843
Entity Type: Organization
Organization Name: Heartfully Bolder Ot, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 28, 2021
Last Updated: Mar 28, 2021

Practice Location

Address: 637-B SOUTH BROADWAY, #142
City: Boulder
State: Colorado
ZIP Code: 80305
Phone: (303) 335-0861

Authorized Official

Name: DENISE MICHELE LAROCCA, OTD, MS, OTR/L, MS
Title: OWNER/OCCUPATIONAL THERAPIST
Phone: (303) 819-1744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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