Healthcare Provider Details

I. General information

NPI: 1710028758
Provider Name (Legal Business Name): DAPHNE S HOOYBOER OTR, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 08/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8155 E FAIRMOUNT DR APT 2031
DENVER CO
80230-6839
US

IV. Provider business mailing address

8155 E FAIRMOUNT DR APT 2031
DENVER CO
80230-6839
US

V. Phone/Fax

Practice location:
  • Phone: 303-856-7213
  • Fax:
Mailing address:
  • Phone: 303-856-7213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number8901
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number3186
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: