Provider Demographics
NPI:1295994754
Name:ARCHUNDE, BECKY (MS-OTR)
Entity type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:
Last Name:ARCHUNDE
Suffix:
Gender:F
Credentials:MS-OTR
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:SPORRER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS-OTR
Mailing Address - Street 1:16823 BLUE MIST CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10201 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-4301
Practice Address - Country:US
Practice Address - Phone:303-364-3364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist