Individual
JENNA ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1365 W 29TH ST, LOVELAND, CO 80538-2561
(970) 667-6111
Mailing address
1365 W 29TH ST, LOVELAND, CO 80538-2561
(970) 667-6111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004343
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT.0004343
OCCUPATIONAL THERAPIST STATE LICENSE
CO
Enumeration date
03/19/2016
Last updated
03/19/2016
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