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NPI Code Detail

MEDICARE: ANDRE KEVIN ARAGON OTR

MEDICARE:   ANDRE KEVIN ARAGON  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 Therapist0003778CO

General Provider Information

NPI Number : 1699101287
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDRE KEVIN ARAGON OTR
Provider Business Mailing Address
First Line : 1591 GROVE ST
Second Line :
City : DENVER
State : CO
Zip : 80204-1929
Country : US
Telephone Number : 505-500-6275
Fax Number :
Provider Business Practice Location Address
First Line : 333 S EATON ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3544
Country : US
Telephone Number : 303-935-1448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2013
Last Update Date : 09/16/2013

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Directions to “ ANDRE KEVIN ARAGON OTR” Practice Location

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