Talon Carver, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Monte Vista, CO

NPI 1033765623 · NPPES record last updated Aug 10, 2019

Key facts

NPI
1033765623
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA0001216 (CO)
Practice address
2277 East Dr
Monte Vista, CO 81144-9330
Phone
(719) 852-5138
NPI assigned
Aug 10, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA0001216COMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA0001216 CO Yes

Addresses

Primary practice location

2277 East Dr
Monte Vista, CO 81144-9330

Mailing address

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697

Other providers in Monte Vista, CO

All providers in Monte Vista, CO · Occupational Therapy Assistant in Colorado

Sources for this page

Verify at the official NPI Registry.