Individual
KIMBERLY KAIULANI CARTER GRENAWITZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD OTR/L SCFES CLC
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-7428
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
10898
CA
225XP0200X
Pediatric Occupational Therapist
Primary
5022
CO
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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