Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT.0005363 | CO |
N | 225XH1200X | Occupational Therapist - Hand | OT.0005363 | CO |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT.0005363 | CO |
NPI | 1053898049 |
---|---|
Provider Name | Deann Mae Hunt |
First Address | Fort Collins, CO 80526-6428 |
Second Address | Fort Collins, CO 80526-6428 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2018 |
Last Update Date | 23/07/2018 |