MEDICARE: MRS. BEVERLY J PARROTT MS, PT, COMT, OCS

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	174400000X	Specialist	490	CO

General Provider Information

NPI Number	:	1720163447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BEVERLY J PARROTT MS, PT, COMT, OCS

Provider Business Mailing Address
First Line	:	2942 S NEWPORT ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80224-2760
Country	:	US
Telephone Number	:	303-757-1554
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 S PEARL ST
Second Line	:	SUITE 200
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-3805
Country	:	US
Telephone Number	:	303-757-1554
Fax Number	:	303-757-3104

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

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	07/08/2007

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