Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 429567 | CO |
NPI | 1013553320 |
---|---|
Provider Name | Whitney Oyster |
First Address | Denver, CO 80204-4050 |
Second Address | Englewood, CO 80112-5069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2019 |
Last Update Date | 21/11/2019 |