Individual
AMANDA KUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
155 PANTHER WAY, WOODLAND PARK, CO 80863-3165
(719) 452-1618
Mailing address
155 PANTHER WAY, WOODLAND PARK, CO 80863-3165
(719) 452-1618
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0119003764
VA
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
OT.0002588
CO
225XP0200X
Pediatric Occupational Therapist
Primary
2588
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119003764
OT
VA
01
—
2588
OT STATE LICENSE
CO
05
—
26635372
—
CO
Enumeration date
05/08/2007
Last updated
06/05/2024
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