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NPI Code Detail

MEDICARE: MRS. NANCY E CWIKLIN MS, OTR

MEDICARE:  MRS. NANCY E CWIKLIN  MS, OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1041871CO

General Provider Information

NPI Number : 1093777963
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY E CWIKLIN MS, OTR
Provider Business Mailing Address
First Line : 2809 OUTRIGGER WAY
Second Line :
City : FT COLLINS
State : CO
Zip : 80524-6705
Country : US
Telephone Number : 970-484-8413
Fax Number : 970-493-8016
Provider Business Practice Location Address
First Line : 1045 ROBERTSON ST
Second Line :
City : FT COLLINS
State : CO
Zip : 80524-3926
Country : US
Telephone Number : 970-493-6667
Fax Number : 970-493-8016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/08/2007

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