MEDICARE: AMANDA R FERIGAN OTR/L

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	225XP0200X	Pediatric Occupational Therapist
2	174400000X	Specialist

General Provider Information

NPI Number	:	1962661470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA R FERIGAN OTR/L

Provider Business Mailing Address
First Line	:	1422 LOWELL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1520
Country	:	US
Telephone Number	:	720-985-4611
Fax Number	:

Provider Business Practice Location Address
First Line	:	2851 S PARKER RD STE 1136
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-2732
Country	:	US
Telephone Number	:	720-465-5754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	06/11/2021

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