Provider Demographics
NPI:1821378936
Name:TOLMAN, DANA MARIE (MS OTR)
Entity Type:Individual
Prefix:MS
First Name:DANA
Middle Name:MARIE
Last Name:TOLMAN
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8194 S MEMPHIS WAY
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4625
Mailing Address - Country:US
Mailing Address - Phone:970-980-3797
Mailing Address - Fax:303-422-5437
Practice Address - Street 1:8194 S MEMPHIS WAY
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-4625
Practice Address - Country:US
Practice Address - Phone:970-980-3797
Practice Address - Fax:303-422-5437
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1559225X00000X
COOT.0001556225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO24871303Medicaid