Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2681 | CO |
NPI | 1275871303 |
---|---|
Provider Name | Ms. Lee Anne Scheibelhut |
First Address | Arvada, CO 80005-2424 |
Second Address | Arvada, CO 80005-2424 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2013 |
Last Update Date | 24/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2681 | COLORADO STATE LISENCE (01) | CO |