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NPI Code Detail

MEDICARE: CARSYN LEE VANCE OTD

MEDICARE: CARSYN LEE VANCE OTD
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 Therapist

General Provider Information

NPI Number : 1528945441
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARSYN LEE VANCE OTD
Provider Business Mailing Address
First Line : 1605 COCHRANE CIR
Second Line :
City : FORT CARSON
State : CO
Zip : 80913
Country : US
Telephone Number : 719-524-4191
Fax Number :
Provider Business Practice Location Address
First Line : 1650 COCHRANE CIR UNIT MEDDAC
Second Line :
City : FORT CARSON
State : CO
Zip : 80913-4604
Country : US
Telephone Number : 515-777-4437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2025
Last Update Date : 12/11/2025

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Directions to “ CARSYN LEE VANCE OTD” Practice Location

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