Individual
MS. BETTY ALICE AUGUSTAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR CHT
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0002539
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9105000665
HTC
CO
01
—
AA434639
OTR
CO
Enumeration date
11/27/2006
Last updated
04/13/2016
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