Provider Demographics
NPI:1568011401
Name:MAJOR, THERESA ANN (OT)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANN
Last Name:MAJOR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9207 FLAMINGO WAY
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-9401
Mailing Address - Country:US
Mailing Address - Phone:303-718-3736
Mailing Address - Fax:
Practice Address - Street 1:9207 FLAMINGO WAY
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80125-9401
Practice Address - Country:US
Practice Address - Phone:303-718-3736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0002065225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty