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NPI Code Detail

MEDICARE: ELIZABETH PRICE

MEDICARE:   ELIZABETH  PRICE
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 TherapistOT.0006787CO

General Provider Information

NPI Number : 1730755489
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH PRICE
Provider Business Mailing Address
First Line : 11101 COUNTY ROAD 117 APT C8
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-9534
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 851 E 5TH ST
Second Line :
City : RIFLE
State : CO
Zip : 81650-2941
Country : US
Telephone Number : 970-625-0842
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/02/2021

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Directions to “ ELIZABETH PRICE ” Practice Location

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