Healthcare Provider Details

I. General information

NPI: 1346880416
Provider Name (Legal Business Name): EMILY T MCLANE OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1142 W IDA AVE APT B
LITTLETON CO
80120-2270
US

IV. Provider business mailing address

1142 W IDA AVE APT B
LITTLETON CO
80120-2270
US

V. Phone/Fax

Practice location:
  • Phone: 720-204-8512
  • Fax: 720-407-6818
Mailing address:
  • Phone: 908-377-9316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number030552
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0008274
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: