Healthcare Provider Details

I. General information

NPI: 1710995980
Provider Name (Legal Business Name): CARA DILORENZO WOUNDY OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARA ELIZABETH DILORENZO OTR

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3090 N ACADEMY BLVD
COLORADO SPRINGS CO
80917-5310
US

IV. Provider business mailing address

1409 N CORONA ST
COLORADO SPRINGS CO
80907-7620
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-8300
  • Fax: 719-574-9547
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: