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Individual

SARAH KATIE ANNA PHANKOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. OTR

Contact information

Practice address
813 WINCHESTER DR, FORT COLLINS, CO 80526-2637
(970) 222-7805
Mailing address
813 WINCHESTER DR, FORT COLLINS, CO 80526-2637
(970) 222-7805

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2975
CO

Other

Enumeration date
10/10/2011
Last updated
10/10/2011
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