MEDICARE: CHILDREN'S OUTREACH PROJECT THERAPEUTIC DAY CARE CENTER

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

General Provider Information

NPI Number	:	1720404486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDREN'S OUTREACH PROJECT THERAPEUTIC DAY CARE CENTER

Provider Business Mailing Address
First Line	:	8000 PECOS ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-3979
Country	:	US
Telephone Number	:	303-429-0653
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 PECOS ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-3979
Country	:	US
Telephone Number	:	303-429-0653
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	DANIELLE MEIR
Credential	:
Telephone Number	:	303-429-0653

Provider Enumeration Date	:	03/05/2014
Last Update Date	:	03/05/2014

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