Provider Demographics
NPI:1588801328
Name:PHILLIPS, KARIN
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARIN
Other - Middle Name:
Other - Last Name:OCKULY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2854 S GOLDEN WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3848
Mailing Address - Country:US
Mailing Address - Phone:303-570-8165
Mailing Address - Fax:
Practice Address - Street 1:3700 QUEBEC ST
Practice Address - Street 2:UNIT 100-337
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80207-1638
Practice Address - Country:US
Practice Address - Phone:303-333-4982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-15
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003566225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist