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NPI Code Detail

MEDICARE: KATHERINE MIRABAL

MEDICARE: KATHERINE MIRABAL
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
1225X00000XOccupational Therapist6325CO

General Provider Information

NPI Number : 1144931098
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MIRABAL
Provider Business Mailing Address
First Line : 6851 S HOLLY CIR STE 290
Second Line :
City : CENTENNIAL
State : CO
Zip : 80112-1076
Country : US
Telephone Number : 720-542-8737
Fax Number :
Provider Business Practice Location Address
First Line : 6155 S MAIN ST STE 200
Second Line :
City : AURORA
State : CO
Zip : 80016-5405
Country : US
Telephone Number : 720-542-8737
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2022
Last Update Date : 12/12/2022

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Directions to “ KATHERINE MIRABAL ” Practice Location

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