Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 0003000 | CO |
NPI | 1043749591 |
---|---|
Provider Name | Emily Tjosvold |
First Address | Steamboat Springs, CO 80487-8813 |
Second Address | Steamboat Springs, CO 80487-8813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2017 |
Last Update Date | 08/06/2017 |