Mandi Lynn Wade, OTR
Occupational Therapist in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1629699178
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1629699178
- Entity type
- Individual (NPI-1)
- Name
- Mandi Lynn Wade
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 6, 2020
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT.0006861 | CO | Yes |
| 225X00000X | Occupational Therapist | OTH-008088 | AZ |
Practice location
2430 Research Pkwy Ste 100Colorado Springs, CO 80920-1093
Phone 719-623-1050 · Fax 719-562-6225
Mailing address
8101 E Lowry Blvd Ste 120Denver, CO 80230-7195
Phone 720-865-6072
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All 354 Occupational Therapist providers in Colorado Springs · All 25,904 providers in Colorado Springs
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