Individual
MS. JENI ANN HARTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, PT, MPT
Contact information
Practice address
575 RIVERGATE UNIT 97, DURANGO, CO 81301-7490
(970) 259-0574
Mailing address
575 RIVERGATE UNIT 97, DURANGO, CO 81301-7490
(970) 259-0574
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
7384
CO
225X00000X
Occupational Therapist
AA515742
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59281332
—
CO
01
—
7384
PHYSICAL THERAPY LICENSE
CO
Enumeration date
12/13/2006
Last updated
11/19/2009
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