Provider Demographics
NPI:1962690685
Name:FERRARI, VINCENTIA JEAN (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:VINCENTIA
Middle Name:JEAN
Last Name:FERRARI
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5420 S QUEBEC STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111
Mailing Address - Country:US
Mailing Address - Phone:303-221-7827
Mailing Address - Fax:303-322-5550
Practice Address - Street 1:5420 S QUEBEC STREET
Practice Address - Street 2:SUITE 103
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:303-221-7827
Practice Address - Fax:303-322-5550
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1358225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist