Provider Demographics
NPI:1154765188
Name:MORIN, NANCY BATIUK (OTR)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:BATIUK
Last Name:MORIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:HUBARD
Other - Last Name:BATIUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1170 BISON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80919-1531
Mailing Address - Country:US
Mailing Address - Phone:719-598-8612
Mailing Address - Fax:
Practice Address - Street 1:1170 BISON RIDGE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919-1531
Practice Address - Country:US
Practice Address - Phone:719-598-8612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0001162225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics