Provider Demographics
NPI:1215307533
Name:GROSSMANN, SABINE (COTA)
Entity type:Individual
Prefix:
First Name:SABINE
Middle Name:
Last Name:GROSSMANN
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 1:807 E 14TH AVE
Mailing Address - Street 2:UNIT 6
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1876
Mailing Address - Country:US
Mailing Address - Phone:619-347-9535
Mailing Address - Fax:
Practice Address - Street 1:807 E 14TH AVE
Practice Address - Street 2:UNIT 6
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1876
Practice Address - Country:US
Practice Address - Phone:619-347-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA.0000598224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant