Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | 1002499 | KS |
Y | 225XH1200X | Occupational Therapist - Hand | 2051 | CO |
NPI | 1104988369 |
---|---|
Provider Name | Mrs. Sarah Tsoknyi Wangmo |
First Address | Englewood, CO 80113-3781 |
Second Address | Englewood, CO 80113-3781 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2006 |
Last Update Date | 28/10/2015 |