Individual
MS. PATRICIA BOTHWELL KENYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR CHT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
569
CO
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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