Provider Demographics
NPI:1407349327
Name:COMPLETE CANCER REHAB
Entity Type:Organization
Organization Name:COMPLETE CANCER REHAB
Other - Org Name:COMPLETE CANCER REHAB LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST PHYSICAL REH
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:970-306-7434
Mailing Address - Street 1:8000 S LINCOLN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2704
Mailing Address - Country:US
Mailing Address - Phone:970-306-7434
Mailing Address - Fax:303-697-6426
Practice Address - Street 1:8000 S LINCOLN ST STE 6
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2704
Practice Address - Country:US
Practice Address - Phone:970-306-7434
Practice Address - Fax:303-697-6426
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMPLETE CANCER REHAB LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-06-14
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0001901225XP0019X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty