Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0004368 | CO |
N | 225XM0800X | Mental Health | 14717 | CA |
NPI | 1124422795 |
---|---|
Provider Name | Ella Harrington |
First Address | Colorado Springs, CO 80910-3113 |
Second Address | Colorado Springs, CO 80910-3113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2014 |
Last Update Date | 08/10/2015 |