Provider Demographics
NPI:1194935809
Name:VAN RIJSSEN, MARGARET M (MA, ATR)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:M
Last Name:VAN RIJSSEN
Suffix:
Gender:F
Credentials:MA, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 LEYDEN ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-2802
Mailing Address - Country:US
Mailing Address - Phone:303-320-4820
Mailing Address - Fax:
Practice Address - Street 1:5378 STERLING DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2351
Practice Address - Country:US
Practice Address - Phone:303-842-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO07-023221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist