Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1035716 | CO |
NPI | 1003079658 |
---|---|
Provider Name | Karlie Marie Lindgren |
First Address | Loveland, CO 80538-4282 |
Second Address | Loveland, CO 80538-4412 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2008 |
Last Update Date | 03/07/2008 |