Individual
KATHRYN PW EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2451 S TIMBERLINE RD APT 8-201, FORT COLLINS, CO 80525-4174
(785) 341-1131
Mailing address
2451 S TIMBERLINE RD APT 8-201, FORT COLLINS, CO 80525-4174
(785) 341-1131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
COTA-1005
WY
225X00000X
Occupational Therapist
Primary
OT.0006653
CO
Other
Enumeration date
06/11/2013
Last updated
12/02/2020
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