Individual
MISS TRUDY BOULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L CHT
Contact information
Practice address
13123 E 16TH AVE # 580, AURORA, CO 80045-7106
(720) 777-8295
Mailing address
13123 E 16TH AVE # 580, AURORA, CO 80045-7106
(720) 777-8295
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0001718
CO
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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