HOLLY CATHERINE GRACE TAVERA

LONGMONT, CO
NPI1417414673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CO  OT.0006677)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: AZ  007709)
Enumeration Date2019-02-25
Last Update Date2021-06-30
Business Address
HOLLY CATHERINE GRACE TAVERA OT
1610 DRY CREEK DR
LONGMONT, CO 80503-6405
Phone number: 720-494-4750
Mailing Address
HOLLY CATHERINE GRACE TAVERA OT
2500 E PROSPECT RD
FORT COLLINS, CO 80525-9718
Phone number: 970-493-0112