Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1073725842 |
---|---|
Provider Name | Julie T Stratmeyer |
First Address | Berthoud, CO 80513-1027 |
Second Address | Boulder, CO 80304-3979 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
22 | OTR (01) | CO |