Provider Demographics
NPI:1609212638
Name:PEZEL, CHRISTY JOY (OTR)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:JOY
Last Name:PEZEL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9714 W ELMHURST PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-5196
Mailing Address - Country:US
Mailing Address - Phone:179-232-2117
Mailing Address - Fax:
Practice Address - Street 1:9714 W ELMHURST PL
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-5196
Practice Address - Country:US
Practice Address - Phone:179-232-2117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0001918225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist