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Individual

KIMBERLY EHRLICH FURR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2030
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2030
COLORADO STATE LICENSE
CO
05
800636
CO
Enumeration date
07/31/2012
Last updated
07/31/2012
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