Basic Information
| Provider Information | |||||||||
| NPI: | 1922657782 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | NEW | ||||||||
| FirstName: | TANYA | ||||||||
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| Credential: | MS, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2131 LAWRENCE ST APT 429 | ||||||||
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| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802052785 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489171170 | ||||||||
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| Practice Location | |||||||||
| Address1: | 501 THORNTON PKWY | ||||||||
| Address2: | |||||||||
| City: | THORNTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802292101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034526101 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/05/2019 | ||||||||
| LastUpdateDate: | 09/05/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT.0005626 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.