Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 225XG0600X | Occupational Therapist - Gerontology | 1298 | CO |
N | 225XG0600X | Occupational Therapist - Gerontology | 2562 | NM |
NPI | 1679776868 |
---|---|
Provider Name | Ms. Marjorie Ellen Hill |
First Address | Dolores, CO 81323-8915 |
Second Address | Dolores, CO 81323-8915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 19/10/2010 |