Organization
TINY TREE OT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN SK SMITH OTR/L (PRESIDENT)
(970) 488-0773
Entity
Organization
Contact information
Practice address
2832 STONEHAVEN DR, FORT COLLINS, CO 80525-5683
(970) 488-0773
Mailing address
2832 STONEHAVEN DR, FORT COLLINS, CO 80525-5683
(970) 488-0773
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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