Most Relevant Information
Provider Data
| NPI Number: | 1003652835 |
| Provider Name: | MISTY DAWN HANVEY L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA.0001789 |
Most Important Dates
| Enumeration Date: | 07/02/2024 |
| Last Updated: | 07/02/2024 |
Provider Practice Location
4500 CHERRY CREEK STREET SUITE 710
DENVER
CO
80246
Practice Location Phone/Fax
| Phone: | 3034328487 |
| Fax: |
Provider Mailing Location
3411 COTTONWOOD CIR
FREDERICK
CO
805045677
Provider Mailing Phone/Fax
| Phone: | 3032299801 |
| Fax: |