Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 627 | CO |
NPI | 1326273525 |
---|---|
Provider Name | Karen Elizabeth Hormachea |
First Address | Denver, CO 80204-4507 |
Second Address | Denver, CO 80204-4532 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2009 |
Last Update Date | 18/05/2009 |