Provider Demographics
NPI:1518359124
Name:COE, AARON (OTR/L)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:COE
Suffix:
Gender:M
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 1:5951 MIDDLEFIELD RD
Mailing Address - Street 2:100
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5951 MIDDLEFIELD RD
Practice Address - Street 2:100
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7933
Practice Address - Country:US
Practice Address - Phone:518-396-9139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4205225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO85608335Medicaid