MEDICARE: COLORADO HAND THERAPY, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies	15162580000	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215252960
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO HAND THERAPY, LLC

Provider Business Mailing Address
First Line	:	2535 S DOWNING ST
Second Line	:	SUITE 580
City	:	DENVER
State	:	CO
Zip	:	80210-5847
Country	:	US
Telephone Number	:	303-777-2393
Fax Number	:	303-871-7067

Provider Business Practice Location Address
First Line	:	1300 S POTOMAC ST
Second Line	:	SUITE 116
City	:	AURORA
State	:	CO
Zip	:	80012-6166
Country	:	US
Telephone Number	:	720-858-7080
Fax Number	:	303-341-6327

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	KARL RAYMOND ZANDER
Credential	:
Telephone Number	:	303-777-0424

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	05/26/2010

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