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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRYAN LORENZO WIDDISON, OTR/L

Deactivated Sole Proprietor

MR. BRYAN LORENZO WIDDISON, OTR/L is a Occupational Therapist healthcare provider located in PARKER, Colorado. NPI 1952534240 is deactivated in the NPPES registry. Verify at CMS.

Occupational Therapist · PARKER, CO

This NPI has been deactivated. The record was deactivated on October 23, 2019. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1952534240
Provider Type
Individual
Gender
Male
NPI Issued
Sep 2, 2009 (10.139344262295 yrs)
Last Updated
Feb 1, 2024
Deactivated
Oct 23, 2019
License
OT.0003001 (CO)
Sole Proprietor
Yes

Practice Information

Address
22480 PEBBLE BROOK LN
PARKER, CO, 801388390
Browse CO providers · Browse ZIP 80138
Phone
3035503268
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in PARKER, CO

Name Credential NPI
MRS. SAMANTHA ROBINSON OTR/L 1053383927
JO ELLEN RICHARDSON 1164539078
MRS. LISA ANN SANDOVAL O.T 1831261759
MRS. AUDREY JANE AGUILAR REGISTERED OCCUPATIO 1619030764
MRS. REBECCA SUZANNE DAY MOT, OTR/L 1205993268
SARAH BREE CARON OTR 1922208586
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.