Healthcare Provider Details

I. General information

NPI: 1932255031
Provider Name (Legal Business Name): MARIAM ANSPACHER OCHSENBEIN O.T.R.L, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 11/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2822 W 28TH AVE APT. 108
DENVER CO
80211-4157
US

IV. Provider business mailing address

8558 E 50TH AVE
DENVER CO
80238-3285
US

V. Phone/Fax

Practice location:
  • Phone: 303-885-9848
  • Fax:
Mailing address:
  • Phone: 303-888-1946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0004083
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: