Doctor Name: | GRACE KATHERINE OVIATT |
NPI Number: | 1346653920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, DPT |
License Number: | 0012718 |
Business Practice Address: | 11575 Main St Unit 100 Broomfield, CO - 800202782 |
Business Phone Number: | 3034672288 |
Business Fax Number: | 3034100100 |
Mailing Address: | 1760 Steel St Unit 4306, LOUISVILLE |
State: | CO |
Postal Code: | 800278541 |
Phone Number: | 7209876553 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2014 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 0012718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |