Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2667 | CO |
NPI | 1063772457 |
---|---|
Provider Name | Mrs. Linda Stephanie Falb |
First Address | Boulder, CO 80305-6817 |
Second Address | Boulder, CO 80305-6817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2012 |
Last Update Date | 21/05/2012 |