Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | OT.0001954 | CO |
Y | 225XE1200X | Ergonomics | OT.0001954 | CO |
NPI | 1144738329 |
---|---|
Provider Name | Angela Martorella |
First Address | Centennial, CO 80121-3346 |
Second Address | Centennial, CO 80121-3346 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2018 |
Last Update Date | 22/01/2018 |