Provider Demographics
NPI:1174292197
Name:ROBEK, NATALIE LANE (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:LANE
Last Name:ROBEK
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9137 E MINERAL CIR STE 120
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3422
Mailing Address - Country:US
Mailing Address - Phone:303-284-4021
Mailing Address - Fax:
Practice Address - Street 1:9137 E MINERAL CIR STE 120
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3422
Practice Address - Country:US
Practice Address - Phone:303-284-4021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0006992225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COOT.0006992OtherCOLORADO DEPARTMENT OF REGULATORY AGENCIES