Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 293910 |
NPI | 1023384732 |
---|---|
Provider Name | Anne Pierce |
First Address | Aurora, CO 80018-4546 |
Second Address | Aurora, CO 80018-4546 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 27/03/2012 |