Individual
LAURA KENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 TABOR ST, WHEAT RIDGE, CO 80033-2112
(303) 421-4161
Mailing address
12 E BAYAUD AVE, DENVER, CO 80209-1504
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005164
CO
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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