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NPI Code Detail

MEDICARE: ERICA R MERCER OTR

MEDICARE: ERICA R MERCER OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0006139CO

General Provider Information

NPI Number : 1093012023
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA R MERCER OTR
Provider Business Mailing Address
First Line : 2804 VALENTIA ST
Second Line :
City : DENVER
State : CO
Zip : 80238-2512
Country : US
Telephone Number : 540-588-4507
Fax Number :
Provider Business Practice Location Address
First Line : 12975 SHERIDAN BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-1477
Country : US
Telephone Number : 303-785-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2011
Last Update Date : 09/08/2020

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