Individual
JOSEPHINE SOPHIE HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1660 ALLISON ST, LAKEWOOD, CO 80214-6023
(303) 232-0883
Mailing address
1054 BANOCK DR, LARAMIE, WY 82072-6905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
456359
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100363842
CIGNA
WY
Enumeration date
08/06/2021
Last updated
08/06/2021
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