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General NPI Number Information
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NPI Number | 1316234412
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Entity Type | Individual
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Provider Name | CHRISTINA KRAFFT MARTELON OTR/L
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Gender | Female
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Dates
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Enumeration Date | 07/09/2011
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Last Update Date | 11/23/2024
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Provider Practice Location Address
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Address Line | 33883 COUNTY ROAD 33
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City | KIOWA
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State | CO
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Zip | 80117-8918
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Country | US
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Telephone | 720-217-5847
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Fax |
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Provider Business Mailing Address
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Address Line | 33883 COUNTY ROAD 33
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City | KIOWA
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State | CO
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Zip | 80117-8918
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Country | US
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Telephone | 720-217-5847
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 1780
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License Number State | CO
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