Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 2354 | CO |
NPI | 1245202514 |
---|---|
Provider Name | Mrs. Lyn M Heathershaw |
First Address | Englewood, CO 80113-7046 |
Second Address | Englewood, CO 80113-7046 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 16/12/2016 |