Individual
ELIZABETH FAUERBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 KIMBARK ST, LONGMONT, CO 80501-5526
(303) 427-5302
Mailing address
2751 LAWRENCE CT, LAFAYETTE, CO 80026-9603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0003496
CO
Other
Enumeration date
02/16/2015
Last updated
03/08/2021
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