Healthcare Provider Details

I. General information

NPI: 1679284954
Provider Name (Legal Business Name): LI-SHANN YVONNE BIGBY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2022
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15751 E 1ST AVE
AURORA CO
80011-9023
US

IV. Provider business mailing address

11660 WATERBEND CT
WELLINGTON FL
33414-8851
US

V. Phone/Fax

Practice location:
  • Phone: 561-225-5438
  • Fax:
Mailing address:
  • Phone: 561-225-5438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: