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Individual

KRISTIN ALYCE BEVERIDGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-4925
Mailing address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-4925

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0001580
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001580
STATE LICENSE
CO
Enumeration date
10/02/2018
Last updated
10/02/2018
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