Provider Demographics
NPI:1720314560
Name:TERRY, ANN C (OT)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:C
Last Name:TERRY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 WADSWORTH BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-4624
Mailing Address - Country:US
Mailing Address - Phone:303-953-3163
Mailing Address - Fax:303-245-0726
Practice Address - Street 1:8020 LEE DR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-2078
Practice Address - Country:US
Practice Address - Phone:303-422-1755
Practice Address - Fax:303-422-3713
Is Sole Proprietor?:No
Enumeration Date:2009-10-29
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003806225XH1200X
NM2839225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand