Healthcare Provider Details
I. General information
NPI: 1396733267
Provider Name (Legal Business Name): BABETTE M LOBBAN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/13/2005
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14000 E ARAPAHOE RD #160
CENTENNIAL CO
80112-4046
US
IV. Provider business mailing address
4900 S MONACO ST SUITE 210
DENVER CO
80237-3486
US
V. Phone/Fax
- Phone: 303-218-4260
- Fax: 303-218-4249
- Phone: 303-218-4260
- Fax: 303-218-4249
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | 1093 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: