Individual
CYNTHIA K PETRINOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
3935 DOUGLAS MTN DRIVE, GOLDEN, CO 80403
(303) 279-5802
Mailing address
3935 DOUGLAS MOUNTAIN DR, GOLDEN, CO 80403-7701
(303) 279-5802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA437715
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52932231
—
CO
Enumeration date
06/14/2006
Last updated
04/29/2016
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