Provider Demographics
NPI:1841758174
Name:SILBERNAGEL, ALICIA ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:ANN
Last Name:SILBERNAGEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 AZALEA DR APT 3
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5739
Mailing Address - Country:US
Mailing Address - Phone:303-330-4576
Mailing Address - Fax:970-632-2994
Practice Address - Street 1:1728 AZALEA DR APT 3
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5739
Practice Address - Country:US
Practice Address - Phone:303-330-4576
Practice Address - Fax:970-632-2994
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0005869225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist