MEDICARE: KATHERINE ELIZABETH ELGIN

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
1	225X00000X	Occupational Therapist	OT.0001763	CO

General Provider Information

NPI Number	:	1497553283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ELIZABETH ELGIN

Provider Business Mailing Address
First Line	:	1535 PARK AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1657
Country	:	US
Telephone Number	:	303-832-9323
Fax Number	:

Provider Business Practice Location Address
First Line	:	2702 DALLAS ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2945
Country	:	US
Telephone Number	:	573-529-3924
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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Directions to “ KATHERINE ELIZABETH ELGIN ” Practice Location

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