Provider Demographics
NPI:1568700656
Name:WORKMAN, MARY ALESCH (COTA/L)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ALESCH
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17035 CARLSON DR
Mailing Address - Street 2:1436
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-4120
Mailing Address - Country:US
Mailing Address - Phone:919-260-0949
Mailing Address - Fax:
Practice Address - Street 1:4686 E ASBURY CIR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4723
Practice Address - Country:US
Practice Address - Phone:303-300-8865
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant