Angela Denise Davidson, OTR

Individual provider Active NPI Occupational Therapist · Delta, CO

NPI 1598095689 · NPPES record last updated Jan 12, 2010

Key facts

NPI
1598095689
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
617 (CO)
Practice address
5584 Sunridge Dr
Delta, CO 81416-9449
Phone
(970) 216-8135
NPI assigned
Jan 12, 2010
Sex
Female
Sole proprietor
No

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
617COMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 617 CO Yes

Addresses

Primary practice location

5584 Sunridge Dr
Delta, CO 81416-9449

Mailing address

5584 Sunridge Dr
Delta, CO 81416-9449
Phone (970) 216-8135

Other providers in Delta, CO

All providers in Delta, CO · Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.