Provider Demographics
NPI:1699090290
Name:COLORADO HAND THERAPY, LLC
Entity type:Organization
Organization Name:COLORADO HAND THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KARL
Authorized Official - Middle Name:R
Authorized Official - Last Name:ZANDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-777-0424
Mailing Address - Street 1:2535 S DOWNING ST
Mailing Address - Street 2:SUITE 580
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5847
Mailing Address - Country:US
Mailing Address - Phone:303-377-4053
Mailing Address - Fax:303-377-4042
Practice Address - Street 1:4500 E 9TH AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3911
Practice Address - Country:US
Practice Address - Phone:303-777-2393
Practice Address - Fax:303-871-7067
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15162580000332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO73422746Medicaid
COCOB5009Medicare PIN