Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | OT.0007122 | CO |
NPI | 1013671064 |
---|---|
Provider Name | Rachel Pinkus |
First Address | Northglenn, CO 80234-3335 |
Second Address | Northglenn, CO 80234-3335 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2021 |
Last Update Date | 26/10/2021 |