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NPI Code Detail

MEDICARE: MR. DENISE ODELL ALFORD MS, OTR/L

MEDICARE: MR. DENISE ODELL ALFORD MS, OTR/L
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
1225X00000XOccupational Therapist0001114CO

General Provider Information

NPI Number : 1356622757
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DENISE ODELL ALFORD MS, OTR/L
Provider Business Mailing Address
First Line : 9583 NEWPORT PLUM CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-2806
Country : US
Telephone Number : 951-297-1143
Fax Number :
Provider Business Practice Location Address
First Line : 1110 CHAPEL HILLS DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3923
Country : US
Telephone Number : 951-297-1143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2011
Last Update Date : 03/04/2024

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