Provider Demographics
NPI:1104364363
Name:HARRINGTON, SUE (COTA/L)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11154 HURON ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-2328
Mailing Address - Country:US
Mailing Address - Phone:720-381-0624
Mailing Address - Fax:
Practice Address - Street 1:11154 HURON ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-2328
Practice Address - Country:US
Practice Address - Phone:720-381-0624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA.0000237224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant