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NPI Code Detail

MEDICARE: CHRISTA PAVLUS OTR

MEDICARE: CHRISTA PAVLUS 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
1225000000XOrthotic Fitter
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1790996460
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTA PAVLUS OTR
Provider Business Mailing Address
First Line : 5764 E WETLANDS DR
Second Line :
City : FREDERICK
State : CO
Zip : 80504-9690
Country : US
Telephone Number : 720-318-5700
Fax Number :
Provider Business Practice Location Address
First Line : 1855 PLAZA DR
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2325
Country : US
Telephone Number : 303-926-3849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 09/11/2025

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Directions to “ CHRISTA PAVLUS OTR” Practice Location

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