Healthcare Provider Details

I. General information

NPI: 1386760650
Provider Name (Legal Business Name): NANCY A HUSBAND O.T.R, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 12/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 ARCTURUS DR
COLORADO SPRINGS CO
80906-1846
US

IV. Provider business mailing address

6160 PEMBERTON WAY
COLORADO SPRINGS CO
80919-2460
US

V. Phone/Fax

Practice location:
  • Phone: 719-444-0381
  • Fax:
Mailing address:
  • Phone: 719-269-8745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number991656
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: