Healthcare Provider Details

I. General information

NPI: 1629803960
Provider Name (Legal Business Name): HANNAH MARIE HOOPER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2024
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11180 IRVING DR
WESTMINSTER CO
80031-6886
US

IV. Provider business mailing address

3704 DEXTER ST
DENVER CO
80207-1045
US

V. Phone/Fax

Practice location:
  • Phone: 303-416-4883
  • Fax:
Mailing address:
  • Phone: 785-554-5344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0006204
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: