Individual
MRS. TANYA NICHOLE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
701 PRAIRIE HAWK DR, CASTLE ROCK, CO 80109-8001
(303) 387-0100
Mailing address
701 PRAIRIE HAWK DR, CASTLE ROCK, CO 80109-8001
(303) 387-0100
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1000234
MD
Other
Enumeration date
04/01/2008
Last updated
08/25/2023
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