Provider Demographics
NPI:1437435583
Name:BLADO, MORGAN L (MS OTR)
Entity Type:Individual
Prefix:
First Name:MORGAN
Middle Name:L
Last Name:BLADO
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 E 14TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-6000
Mailing Address - Country:US
Mailing Address - Phone:970-393-0156
Mailing Address - Fax:
Practice Address - Street 1:3307 E 14TH AVE APT 1
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-6000
Practice Address - Country:US
Practice Address - Phone:970-393-0156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3098225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist