Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 2183 | CO |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation |
NPI | 1144544693 |
---|---|
Provider Name | Rigel A Hafner |
First Address | Fort Collins, CO 80525-8266 |
Second Address | Fort Collins, CO 80525-8266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 25/03/2010 |