Provider Demographics
NPI:1730758194
Name:NARAYAN, ANJALI RAMMOHAN (OTR/L)
Entity type:Individual
Prefix:
First Name:ANJALI
Middle Name:RAMMOHAN
Last Name:NARAYAN
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 1:415 S CHEROKEE ST # S508
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80223-2151
Mailing Address - Country:US
Mailing Address - Phone:978-319-2697
Mailing Address - Fax:
Practice Address - Street 1:2851 S PARKER RD STE 570
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2749
Practice Address - Country:US
Practice Address - Phone:720-535-5671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0006682225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics