Individual
STEPHANIE BUCKHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 TANTRA DR, BOULDER, CO 80305-6195
(720) 594-4433
Mailing address
6125 HABITAT DR APT 1092, BOULDER, CO 80301-3227
(231) 675-7199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0007119
CO
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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