Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 6057 | CO |
NPI | 1457757023 |
---|---|
Provider Name | Karen Zacharewicz |
First Address | Denver, CO 80218-1130 |
Second Address | Denver, CO 80218-1130 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2014 |
Last Update Date | 24/02/2017 |