Individual
JENNIFER HANRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8540 SCARBOROUGH DR, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
2215 7TH AVE, PUEBLO, CO 81003-1820
(719) 583-0981
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000250
CO
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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