Individual
THERESA ANN KORSVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACHELORS
Contact information
Practice address
169 JOHNSON DR, CASTLE ROCK, CO 80104-2121
(303) 807-8260
Mailing address
169 JOHNSON DR, CASTLE ROCK, CO 80104-2121
(303) 807-8260
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0000697
CO
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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