| |
7829 W 38th Ave, Wheat Ridge, CO 80033-6109 | |
(303) 803-0675 | |
(815) 550-2759 |
Full Name | |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 7829 W 38th Ave, Wheat Ridge, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255562237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | 1497 (Colorado) | Secondary |
171100000X | Acupuncturist | 1494 (Colorado) | Secondary |
225X00000X | Occupational Therapist | 1877 (Colorado) | Primary |
Provider Name | Petra E Schalk |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326282591 PECOS PAC ID: 5395991350 Enrollment ID: I20121004000838 |
Mailing Address | Practice Location Address |
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6760 W 45th Ave, Wheat Ridge, CO 80033 Ph: (303) 803-0675 | 7829 W 38th Ave, Wheat Ridge, CO 80033-6109 Ph: (303) 803-0675 |