Individual
KATHY BOERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 WILCOX ST, CASTLE ROCK, CO 80104-1739
(303) 387-0100
Mailing address
620 WILCOX ST, CASTLE ROCK, CO 80104-1739
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0000513
CO
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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