Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 0006331 | CO |
NPI | 1821619065 |
---|---|
Provider Name | Katherine Monus |
First Address | Fort Collins, CO 80526-1870 |
Second Address | Fort Collins, CO 80524-3911 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2020 |
Last Update Date | 28/04/2020 |