Basic Information
| Provider Information | |||||||||
| NPI: | 1760430805 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BRUNELL | ||||||||
| FirstName: | MEGAN | ||||||||
| MiddleName: | MELISSA | ||||||||
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| Credential: | OTR, CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4032 PERTH ST | ||||||||
| Address2: | |||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802498050 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3033715584 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8550 W 38TH AVE | ||||||||
| Address2: | STE 106 | ||||||||
| City: | WHEAT RIDGE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800334300 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034211440 | ||||||||
| FaxNumber: | 3034212524 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/04/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.