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Individual

KRISTIN OLIVER FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2121 MESA DR, BOULDER, CO 80304-3621
(704) 726-0739
Mailing address
7835 GREENBRIAR CIR, BOULDER, CO 80301-4130
(704) 726-0739

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0001036
CO

Other

Enumeration date
04/03/2018
Last updated
04/03/2018
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