Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XH1200X | Occupational Therapist - Hand | OT.0006724 | CO |
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT.0006724 | CO |
NPI | 1205358223 |
---|---|
Provider Name | Stephen Sanchez |
First Address | Fort Collins, CO 80525-9718 |
Second Address | Fort Collins, CO 80525-9718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2017 |
Last Update Date | 25/02/2021 |