MEDICARE: AMY CHEN 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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1134338668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY CHEN OTR

Provider Business Mailing Address
First Line	:	3042 GILPIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4518
Country	:	US
Telephone Number	:	303-292-1815
Fax Number	:

Provider Business Practice Location Address
First Line	:	3042 GILPIN ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-4518
Country	:	US
Telephone Number	:	303-292-1815
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	11/29/2009

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