Individual
KATHRYN HENNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
35510 CTY RD H.5, MANCOS, CO 81328
(303) 775-9676
Mailing address
35510 CTY RD H.5, MANCOS, CO 81328
(303) 775-9676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13084
CA
225X00000X
Occupational Therapist
Primary
2867
CO
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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