Individual
KATELYNN NICOLE STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2407 LAPORTE AVE, FORT COLLINS, CO 80521-2211
(720) 684-9750
Mailing address
5029 LONG DR, TIMNATH, CO 80547-2374
(720) 684-9750
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0006229
CO
Other
Enumeration date
05/04/2021
Last updated
12/13/2022
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