Provider Demographics
NPI:1669252607
Name:BOERDING, CAROLINE ROSE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ROSE
Last Name:BOERDING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 W DUNKELD PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-3737
Mailing Address - Country:US
Mailing Address - Phone:513-300-9878
Mailing Address - Fax:
Practice Address - Street 1:2435 W DUNKELD PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3737
Practice Address - Country:US
Practice Address - Phone:513-300-9878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006795225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist