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NPI Code Detail

MEDICARE: MRS. ANN T. KING OTR, CHT

MEDICARE: MRS. ANN T. KING OTR, CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational TherapistOT.0002789

General Provider Information

NPI Number : 1003855115
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANN T. KING OTR, CHT
Provider Business Mailing Address
First Line : 9070 W CHEYENNE AVE STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-8935
Country : US
Telephone Number : 719-495-3133
Fax Number : 719-495-8685
Provider Business Practice Location Address
First Line : 1803 E CHEYENNE MOUNTAIN BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4027
Country : US
Telephone Number : 719-527-0848
Fax Number : 719-527-0838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 02/13/2025

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