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NPI Code Detail

MEDICARE: MRS. KELLEY ANN LIEBEL OTR

MEDICARE: MRS. KELLEY ANN LIEBEL 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 Therapist1302CO

General Provider Information

NPI Number : 1598000713
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KELLEY ANN LIEBEL OTR
Provider Business Mailing Address
First Line : 150 SPRING ST
Second Line :
City : MORRISON
State : CO
Zip : 80465-2532
Country : US
Telephone Number : 303-697-9714
Fax Number :
Provider Business Practice Location Address
First Line : 150 SPRING ST
Second Line :
City : MORRISON
State : CO
Zip : 80465-2532
Country : US
Telephone Number : 303-697-9714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2012
Last Update Date : 11/28/2012

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Directions to “ MRS. KELLEY ANN LIEBEL OTR” Practice Location

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