Jenna Andersen, MS, OTR/L

Individual provider Active NPI Occupational Therapist · Loveland, CO

NPI 1043671944 · NPPES record last updated Mar 19, 2016

Key facts

NPI
1043671944
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.0004343 (CO)
Practice address
1365 W 29TH St
Loveland, CO 80538-2561
Phone
(970) 667-6111
NPI assigned
Mar 19, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT.0004343COMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0004343 CO Yes

Addresses

Primary practice location

1365 W 29TH St
Loveland, CO 80538-2561

Mailing address

1365 W 29TH St
Loveland, CO 80538-2561
Phone (970) 667-6111

Other identifiers

IdentifierTypeStateIssuer
OT.0004343OtherCOOCCUPATIONAL THERAPIST STATE LICENSE

Other providers in Loveland, CO

All providers in Loveland, CO · Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.