Organization
NATURE'S PATH OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RENAE WILSON OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(318) 507-9909
Entity
Organization
Contact information
Practice address
13955 WOODLAKE RD, ELBERT, CO 80106-8893
(318) 507-9909
Mailing address
13955 WOODLAKE RD, ELBERT, CO 80106-8893
(318) 507-9909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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