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NPI Code Detail

MEDICARE: KATHRYN M BACH OTR/L

MEDICARE: KATHRYN M BACH OTR/L
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 Therapist0006750CO

General Provider Information

NPI Number : 1871171967
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN M BACH OTR/L
Provider Business Mailing Address
First Line : 776 14TH ST
Second Line :
City : BOULDER
State : CO
Zip : 80302-7618
Country : US
Telephone Number : 262-408-1317
Fax Number :
Provider Business Practice Location Address
First Line : 1107 W CENTURY DR
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-1693
Country : US
Telephone Number : 720-507-3447
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 03/30/2021

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Directions to “ KATHRYN M BACH OTR/L” Practice Location

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