| NPI | 1003142878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE BIEL-KAUTZ Occupational Therapist 719-265-2515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 978949) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 978949) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2015-07-29 |