Healthcare Provider Details

I. General information

NPI: 1912902255
Provider Name (Legal Business Name): ORTHOPEDIC REHABILITATION PRODUCTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2005
Last Update Date: 01/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5895 E EVANS AVE STE 102
DENVER CO
80222-5340
US

IV. Provider business mailing address

PO BOX 440956
AURORA CO
80044-0956
US

V. Phone/Fax

Practice location:
  • Phone: 720-524-0950
  • Fax: 720-524-0383
Mailing address:
  • Phone: 720-524-0950
  • Fax: 720-524-0383

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. SHERYL S PRICE
Title or Position: DIRECTOR OF REIMBURSEMENT
Credential:
Phone: 503-493-8288