Individual
EMMA LOUISE KOBYLUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 HOYT ST, LAKEWOOD, CO 80215-1639
(303) 759-1192
Mailing address
2001 HOYT ST, LAKEWOOD, CO 80215-1639
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT.0006479
CO
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0006479
CO
Other
Enumeration date
09/02/2020
Last updated
10/26/2020
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