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General NPI Number Information
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NPI Number | 1861961237
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Entity Type | Individual
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Provider Name | BRIDGET KATHLEEN HARTMAN MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 2719 N UNION BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1145
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Country | US
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Telephone | 719-636-1676
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Fax |
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Provider Business Mailing Address
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Address Line | 4419 EDWINSTOWE AVE
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-3607
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Country | US
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Telephone | 267-888-1254
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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 | OT.0005719
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License Number State | CO
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