Provider Demographics
NPI:1093488009
Name:MERWIN, KATHERINE FELICITY (OTD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:FELICITY
Last Name:MERWIN
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:FELICITY
Other - Last Name:KOWALK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9310 MERINO CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80125-8008
Mailing Address - Country:US
Mailing Address - Phone:240-405-2485
Mailing Address - Fax:
Practice Address - Street 1:3950 S KIRK WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-6026
Practice Address - Country:US
Practice Address - Phone:720-886-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0006931225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist