Individual
BETH FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7180 E ORCHARD RD, SUITE 103, CENTENNIAL, CO 80111-1724
(303) 850-9499
(303) 850-7032
Mailing address
7180 E ORCHARD RD, SUITE 103, CENTENNIAL, CO 80111-1724
(303) 850-9499
(303) 850-7032
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1197
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1197
DORA
CO
Enumeration date
10/23/2012
Last updated
10/23/2012
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