MEDICARE: HANDS AND ROCK-CLIMBING THERAPEUTIC NETWORK

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	:	1962135111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS AND ROCK-CLIMBING THERAPEUTIC NETWORK

Provider Business Mailing Address
First Line	:	899 N LOGAN ST STE 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-3154
Country	:	US
Telephone Number	:	973-856-2661
Fax Number	:

Provider Business Practice Location Address
First Line	:	899 N LOGAN ST STE 102
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80203-3154
Country	:	US
Telephone Number	:	973-856-2661
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EMILY HARTNETT
Credential	:	MOT
Telephone Number	:	973-856-2661

Provider Enumeration Date	:	07/06/2022
Last Update Date	:	07/06/2022

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Directions to “HANDS AND ROCK-CLIMBING THERAPEUTIC NETWORK ” Practice Location

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