Healthcare Provider Details

I. General information

NPI: 1447463674
Provider Name (Legal Business Name): ANIA PLOCHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6595 S DAYTON ST SUITE 1500
GREENWOOD VILLAGE CO
80111-6128
US

IV. Provider business mailing address

10261 ROUTT ST
WESTMINSTER CO
80021-6645
US

V. Phone/Fax

Practice location:
  • Phone: 303-504-9945
  • Fax: 303-504-9946
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1076706
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: