MEDICARE: DR. ZOE REESE STANDRING OTD, OTR

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	225X00000X	Occupational Therapist	OT-2596	HI
2	225X00000X	Occupational Therapist	OT.0008584	CO

General Provider Information

NPI Number	:	1275362261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZOE REESE STANDRING OTD, OTR

Provider Business Mailing Address
First Line	:	2434 S FILLMORE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5504
Country	:	US
Telephone Number	:	303-718-2869
Fax Number	:

Provider Business Practice Location Address
First Line	:	10455 E 25TH AVE
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80010-1207
Country	:	US
Telephone Number	:	720-863-8922
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	04/08/2025

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