Healthcare Provider Details

I. General information

NPI: 1427405166
Provider Name (Legal Business Name): ROBIN LYNNE WESTCOTT C.O.T.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S GARFIELD AVE THERAPY DEPARTMENT
LOVELAND CO
80537-7377
US

IV. Provider business mailing address

25117 SW PARKWAY AVE SUITE D
WILSONVILLE OR
97070-9697
US

V. Phone/Fax

Practice location:
  • Phone: 970-669-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA.0000713
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: