Kaitlin Rose Petrie, | |
4547 Palisades Park Vw, Colorado Springs, CO 80906-8697 | |
(800) 967-4667 | |
Not Available |
Full Name | Kaitlin Rose Petrie |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 4547 Palisades Park Vw, Colorado Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659763944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0004215 (Colorado) | Primary |
Provider Name | Orthopaedic And Neurological Rehab Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20210111000182 |
Mailing Address | Practice Location Address |
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Kaitlin Rose Petrie, 4547 Palisades Park Vw, Colorado Springs, CO 80906-8697 Ph: () - | Kaitlin Rose Petrie, 4547 Palisades Park Vw, Colorado Springs, CO 80906-8697 Ph: (800) 967-4667 |
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