Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT.0001805 | CO |
NPI | 1184166050 |
---|---|
Provider Name | Erin Tancredi |
First Address | Englewood, CO 80113-3807 |
Second Address | Englewood, CO 80113-3807 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2016 |
Last Update Date | 09/11/2016 |