Diana M Arvizo, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Lakewood, CO
NPI 1265879498 · NPPES record last updated May 29, 2013
Key facts
- NPI
- 1265879498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4989-27 (WI)
- Practice address
- 1685 Eaton St.
Lakewood, CO 80214 - Phone
- (303) 936-1866
- NPI assigned
- May 29, 2013
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4989-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4989-27 | WI | Yes |
Addresses
Primary practice location
1685 Eaton St.
Lakewood, CO 80214
Mailing address
5 High Point Woods Dr
Apt 204
Madison, WI 53719-3500
Phone (760) 224-5486
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All providers in Lakewood, CO · Occupational Therapy Assistant in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.