Individual
KATHLEEN DEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2530 FORESIGHT CIR E, GRAND JUNCTION, CO 81505-1011
(970) 628-5589
(970) 623-7107
Mailing address
2530 FORESIGHT CIR E, GRAND JUNCTION, CO 81505-1011
(970) 628-5589
(970) 623-7107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0001272
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0001272
CO LICENSE
CO
Enumeration date
04/20/2021
Last updated
04/20/2021
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