Healthcare Provider Details

I. General information

NPI: 1295595833
Provider Name (Legal Business Name): BRENNA RAMIREZ OTD, OTR/L, ATP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 N LINCOLN ST
DENVER CO
80203-7300
US

IV. Provider business mailing address

260 N GRANT ST
DENVER CO
80203-4020
US

V. Phone/Fax

Practice location:
  • Phone: 650-450-0879
  • Fax:
Mailing address:
  • Phone: 650-450-0879
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225CA2400X
TaxonomyAssistive Technology Practitioner Rehabilitation Counselor
License Number99759
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0008385
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: