Jenna Beth Hall, OTR/L, DOT

Individual provider Active NPI Occupational Therapist · Severance, CO

NPI 1285210328 · NPPES record last updated Mar 19, 2021

Key facts

NPI
1285210328
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.0005516 (CO)
Practice address
1562 Monterey Valley Pkwy
Severance, CO 80550-3278
Phone
(970) 581-3030
NPI assigned
Mar 19, 2021
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

State licenses

LicenseStateTypeSpecialty
OT.0005516COMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0005516 CO Yes

Addresses

Primary practice location

1562 Monterey Valley Pkwy
Severance, CO 80550-3278

Mailing address

1562 Monterey Valley Pkwy
Severance, CO 80550-3278
Phone (970) 581-3030

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Severance Health Information Exchange (HIE)

Other providers in Severance, CO

All providers in Severance, CO · Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.