Individual
MRS. COLLETTE CHINYERERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1500 E 128TH AVE, THORNTON, CO 80241-2601
(720) 972-4000
Mailing address
1500 E 128TH AVE, THORNTON, CO 80241-2601
(720) 972-4790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT12867
FL
225XP0200X
Pediatric Occupational Therapist
31003375A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133720M
—
IN
01
—
1050696
NAT'L CERTIFICATION IN OT
IN
05
—
892492900
—
FL
01
—
OT12867
FL LISCENSURE
FL
01
—
Y905L
BCBS FL
FL
Enumeration date
10/12/2006
Last updated
09/05/2023
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