Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2828 | CO |
NPI | 1255657102 |
---|---|
Provider Name | Judith Lynn Freeman |
First Address | Aurora, CO 80014-3655 |
Second Address | Centennial, CO 80111-4564 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2010 |
Last Update Date | 18/04/2010 |