Ross, Mardy M

Ross, Mardy M is an individual health care provider with primary practice located at 3150 N 12Th St Garden Level, Grand Junction CO 81506-2863. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ross, Mardy M can be contacted via phone (970) 241-5856.

Contact Information

Primary practice address
3150 N 12Th St Garden Level Grand Junction CO 81506-2863
Phone: (970) 241-5856
Fax: (970) 241-8599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1014945 Colorado

Profile Details

NPI number 1346423217
LBN Legal business name Ross, Mardy M
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346423217 NPPES
Colorado Other 840999425010 HMO
Colorado Other P00349837 HMO

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