Provider Demographics
NPI:1760246250
Name:ANUSENCION, MARCE COLENE (OTD, MS, BA)
Entity Type:Individual
Prefix:DR
First Name:MARCE
Middle Name:COLENE
Last Name:ANUSENCION
Suffix:
Gender:F
Credentials:OTD, MS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6356 S UKRAINE CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-6635
Mailing Address - Country:US
Mailing Address - Phone:720-320-3290
Mailing Address - Fax:
Practice Address - Street 1:6356 S UKRAINE CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-6635
Practice Address - Country:US
Practice Address - Phone:720-320-3290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0002415225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty