Provider Demographics
NPI:1003231606
Name:ANNEAR, AMELIA (OTR/L)
Entity Type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:ANNEAR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 DELGANY ST UNIT 1437
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1757
Mailing Address - Country:US
Mailing Address - Phone:214-454-2069
Mailing Address - Fax:
Practice Address - Street 1:2121 DELGANY ST UNIT 1437
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-1757
Practice Address - Country:US
Practice Address - Phone:214-454-2069
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003852252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency