Healthcare Provider Details

I. General information

NPI: 1275458259
Provider Name (Legal Business Name): CHRISTINE NICOLE DENNISON OTR/L, OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 114TH ST STE 347
CLIVE IA
50325-7046
US

IV. Provider business mailing address

2241 HEARTHSTONE CIR SW
ALTOONA IA
50009-1683
US

V. Phone/Fax

Practice location:
  • Phone: 515-222-7350
  • Fax:
Mailing address:
  • Phone: 320-552-2161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number140440
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: