Provider Demographics
NPI:1598477952
Name:NALWEBUGA, JOANITAH (COTA/L)
Entity Type:Individual
Prefix:
First Name:JOANITAH
Middle Name:
Last Name:NALWEBUGA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11015 W 85TH PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-5243
Mailing Address - Country:US
Mailing Address - Phone:918-277-5422
Mailing Address - Fax:
Practice Address - Street 1:11015 W 85TH PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-5243
Practice Address - Country:US
Practice Address - Phone:918-277-5422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA.0001649224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant