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NPI Code Detail

MEDICARE: MR. KURT WILLIAM WARVES OTR

MEDICARE: MR. KURT WILLIAM WARVES 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 Therapist640CO

General Provider Information

NPI Number : 1750307492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KURT WILLIAM WARVES OTR
Provider Business Mailing Address
First Line : 14195 CANDLEWOOD CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80921-3248
Country : US
Telephone Number : 719-684-5268
Fax Number :
Provider Business Practice Location Address
First Line : 4050 BRIARGATE PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7815
Country : US
Telephone Number : 719-364-0217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 08/28/2013

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