Healthcare Provider Details

I. General information

NPI: 1336703719
Provider Name (Legal Business Name): 5280 REHAB SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2019
Last Update Date: 04/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 ONEIDA ST UNIT 2
DENVER CO
80220-2953
US

IV. Provider business mailing address

1421 ONEIDA ST UNIT 2
DENVER CO
80220-2953
US

V. Phone/Fax

Practice location:
  • Phone: 720-900-5331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RACHEL GLASER LAWRENCE
Title or Position: OCCUPATIONAL THERAPIST, OWNDER
Credential: MOT, OTR
Phone: 720-900-5331