Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | OT.0001018 | CO |
NPI | 1942756747 |
---|---|
Provider Name | Laura C Powers |
First Address | Colorado Springs, CO 80904-2517 |
Second Address | Colorado Springs, CO 80904-2517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2016 |
Last Update Date | 09/06/2020 |