Provider Demographics
NPI:1851722714
Name:KANYO, JULIA HANNA (COTA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:HANNA
Last Name:KANYO
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 W 98TH AVE UNIT F
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3292
Mailing Address - Country:US
Mailing Address - Phone:720-560-3027
Mailing Address - Fax:
Practice Address - Street 1:3330 W 98TH AVE UNIT F
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3292
Practice Address - Country:US
Practice Address - Phone:720-560-3027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-03
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO312967224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant