Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT.0000611 | CO |
N | 225XE0001X | Environmental Modification | ||
N | 2251E1200X | Ergonomics | ||
N | 225XE1200X | Ergonomics | ||
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XG0600X | Occupational Therapist - Gerontology | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1497260855 |
---|---|
Provider Name | Karen S Tydingco |
First Address | Lakewood, CO 80228-3037 |
Second Address | Lakewood, CO 80228-3037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2017 |
Last Update Date | 07/12/2017 |