Provider Demographics
NPI:1376318956
Name:VOSTREJS, STEPHEN P
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:VOSTREJS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3536
Mailing Address - Country:US
Mailing Address - Phone:303-455-1555
Mailing Address - Fax:
Practice Address - Street 1:1500 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3536
Practice Address - Country:US
Practice Address - Phone:303-455-1555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225CA2500X
CO225CA2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225CA2500XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorAssistive Technology Supplier