Individual
CAROLYN SYLVIA KERANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
851 E 5TH ST, RIFLE, CO 81650-2941
(970) 625-0842
Mailing address
7741 COUNTY ROAD 233, SILT, CO 81652-9720
(406) 871-0395
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001004
CO
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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