Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0000985 | CO |
NPI | 1033518220 |
---|---|
Provider Name | Alyson Rajnowski |
First Address | Fruita, CO 81521-0130 |
Second Address | Fruita, CO 81521-6305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2014 |
Last Update Date | 20/09/2018 |