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Advance Therapy, INC.

Occupational Therapist, Pediatrics in Fort Collins, CO. Organization (NPI-2).

NPI number1962819367
StatusActive
Last updated in NPPESJul 17, 2014

Details

NPI
1962819367
Entity type
Organization (NPI-2)
Legal business name
Advance Therapy, INC.
Organization subpart
No
Enumeration date
Jul 17, 2014
Last updated
Jul 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225XP0200X Occupational Therapist, Pediatrics––Yes

Practice location

2768 Nottingham Sq
Fort Collins, CO 80526-2589

Phone 970-223-2923

Mailing address

1125 W Drake Rd
Unit B8
Fort Collins, CO 80526-6031

Phone 970-214-1388

Authorized official

Louise E Belleau
President
9702232923

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