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NPI Code Detail

MEDICARE: MRS. JULIANN HANSON OTR

MEDICARE:  MRS. JULIANN  HANSON  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT.0001903CO
2225XN1300XNeurorehabilitation Occupational Therapist

General Provider Information

NPI Number : 1053527697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIANN HANSON OTR
Provider Business Mailing Address
First Line : 37236 FOREST TRL
Second Line :
City : ELIZABETH
State : CO
Zip : 80107-8108
Country : US
Telephone Number : 303-902-8476
Fax Number :
Provider Business Practice Location Address
First Line : 2373 G RD STE 100
Second Line :
City : GRAND JUNCTION
State : CO
Zip : 81505-1003
Country : US
Telephone Number : 970-245-0484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2007
Last Update Date : 02/21/2020

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Directions to “ MRS. JULIANN HANSON OTR” Practice Location

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