Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 2741 | OH |
NPI | 1497099642 |
---|---|
Provider Name | Cara Ann Leiner |
First Address | Denver, CO 80210-6437 |
Second Address | Denver, CO 80210-6437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2012 |
Last Update Date | 11/11/2012 |