Denise Marie Hillis, COTA
Individual provider Active NPI Occupational Therapy Assistant · Fredericktown, MO
NPI 1659569242 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1659569242
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 2005018055 (MO)
- Practice address
- 105 Spruce St
Fredericktown, MO 63645-1002 - Phone
- (573) 783-3993
- NPI assigned
- Oct 9, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005018055 | MO | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2005018055 | MO | Yes |
Addresses
Primary practice location
105 Spruce St
Fredericktown, MO 63645-1002
Mailing address
105 Spruce St
Fredericktown, MO 63645-1002
Phone (573) 783-3993
Other providers in Fredericktown, MO
- Kenneth H Haas
- Shawn M Haferkamp
- Christina Hafner
- Harps Food Stores, Inc
- Hear Mart Acquisitions, LLC
- Home Care Isl, LLC
- Angela Jackson
- Konnor Mariah Jenkins
- Montana B Jensen
- Amanda Jo Johnson
All providers in Fredericktown, MO · Occupational Therapy Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.