Healthcare Provider Details

I. General information

NPI: 1598876575
Provider Name (Legal Business Name): KRISTIN FRANK OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11288 GROVE ST UNIT G
WESTMINSTER CO
80031-8053
US

IV. Provider business mailing address

PO BOX 311
EASTLAKE CO
80614-0311
US

V. Phone/Fax

Practice location:
  • Phone: 720-253-3333
  • Fax:
Mailing address:
  • Phone: 720-253-3333
  • 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: