MEDICARE: PARALLEL PLAY 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	225X00000X	Occupational Therapist	0004096	CO

General Provider Information

NPI Number	:	1346758539
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARALLEL PLAY LLC

Provider Business Mailing Address
First Line	:	1421 ONEIDA ST UNIT 2
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2953
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 ONEIDA ST UNIT 2
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-2953
Country	:	US
Telephone Number	:	720-900-5331
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST
Name	:	RACHEL GLASER LAWRENCE
Credential	:	MOT, OTR
Telephone Number	:	720-900-5331

Provider Enumeration Date	:	01/22/2018
Last Update Date	:	01/22/2018

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Directions to “PARALLEL PLAY LLC ” Practice Location

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