Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 0006068 | CO |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 0006068 | CO |
NPI | 1205482759 |
---|---|
Provider Name | Kate-Lynn Duethman |
First Address | Littleton, CO 80125-8910 |
Second Address | Denver, CO 80246-1534 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2019 |
Last Update Date | 12/08/2019 |