Healthcare Provider Details

I. General information

NPI: 1700328390
Provider Name (Legal Business Name): EMPIRE OFFICE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2016
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2522 W SAINT VRAIN ST
COLORADO SPRINGS CO
80904-2517
US

IV. Provider business mailing address

2522 W SAINT VRAIN ST
COLORADO SPRINGS CO
80904-2517
US

V. Phone/Fax

Practice location:
  • Phone: 719-629-6796
  • Fax: 719-313-9072
Mailing address:
  • Phone: 719-629-6796
  • Fax: 719-313-9072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LYNN M PEIER
Title or Position: OWNER
Credential:
Phone: 719-629-6796