Individual provider · Type 1 NPI
Noreen Elizabeth Petkovich, NCMT
Specialist · Englewood, CO
NPI number
1275700833
Active
Practice location
3510 W Mountain Rd
Englewood, CO 80110-5268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 524519-06 (CO) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1275700833
Noreen Elizabeth Petkovich, NCMT's National Provider Identifier is 1275700833, issued on May 13, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Englewood, CO. The record was last updated on May 13, 2008.