Individual
CHERYL GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
765 15TH ST, BOULDER, CO 80302-7621
(303) 444-1298
Mailing address
765 15TH ST, BOULDER, CO 80302-7621
(303) 444-1298
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0000581
CO
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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