Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand |
NPI | 1255756862 |
---|---|
Provider Name | Patricia Sutton |
First Address | Aurora, CO 80017-4612 |
Second Address | Aurora, CO 80017-4612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/02/2014 |
Last Update Date | 19/02/2014 |