Healthcare Provider Details

I. General information

NPI: 1699090290
Provider Name (Legal Business Name): COLORADO HAND THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2010
Last Update Date: 04/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 E 9TH AVE SUITE 400
DENVER CO
80220-3911
US

IV. Provider business mailing address

2535 S DOWNING ST SUITE 580
DENVER CO
80210-5847
US

V. Phone/Fax

Practice location:
  • Phone: 303-777-2393
  • Fax: 303-871-7067
Mailing address:
  • Phone: 303-377-4053
  • Fax: 303-377-4042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number15162580000
License Number StateCO

VIII. Authorized Official

Name: KARL R ZANDER
Title or Position: GENERAL MANAGER
Credential:
Phone: 303-777-0424