Individual
KAITLIN ROSE PETRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4547 PALISADES PARK VW, COLORADO SPRINGS, CO 80906-8697
(800) 967-4667
Mailing address
4547 PALISADES PARK VW, COLORADO SPRINGS, CO 80906-8697
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0004215
CO
Other
Enumeration date
02/24/2015
Last updated
04/26/2021
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