Mountain Kids Ot LLC
NPI #1841790755 in Broomfield, Colorado
Provider Information
- NPI Number
- 1841790755
- Entity Type
- Organization
- Organization Name
- Mountain Kids Ot LLC
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Feb 16, 2018
- Last Updated
- Feb 16, 2018
Practice Location
- Address
- 2874 POTOSI PL
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80023-4659
- Phone
- (770) 402-8934
Authorized Official
- Name
- CARLA HEYMAN GODZDANKER, MS, OTR/L
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (770) 402-8934
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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