MEDICARE: HAND THERAPY OF COLORADO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1073701678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND THERAPY OF COLORADO, LLC

Provider Business Mailing Address
First Line	:	3333 S BANNOCK ST
Second Line	:	SUITE 770
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2432
Country	:	US
Telephone Number	:	303-808-7686
Fax Number	:	303-762-9785

Provider Business Practice Location Address
First Line	:	3333 S BANNOCK ST
Second Line	:	SUITE 770
City	:	ENGLEWOOD
State	:	CO
Zip	:	80110-2432
Country	:	US
Telephone Number	:	303-808-7686
Fax Number	:	303-762-9785

Authorized Official
Title or Position	:	DOCTOR OF OCCUPATIONAL THERAPY
Name	:	DR. SUSAN BETZ
Credential	:	OTD, OTR, CHT
Telephone Number	:	303-808-7686

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	07/09/2015

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