Healthcare Provider Details

I. General information

NPI: 1588921548
Provider Name (Legal Business Name): KRISTINA R KRAMER OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 04/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S GARFIELD AVE
LOVELAND CO
80537-7377
US

IV. Provider business mailing address

2101 S GARFIELD AVE
LOVELAND CO
80537-7377
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 Code225X00000X
TaxonomyOccupational Therapist
License Number2879
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: