Individual
MISS KARENNINA CELESTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7200 S ALTON WAY STE C250, CENTENNIAL, CO 80112-2349
(714) 308-3492
Mailing address
7200 S ALTON WAY STE C250, CENTENNIAL, CO 80112-2349
(714) 308-3492
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3344
CO
Other
Enumeration date
05/17/2012
Last updated
05/31/2012
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