Provider Demographics
NPI:1255657102
Name:FREEMAN, JUDITH LYNN (OTR)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:LYNN
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3082 S WHEELING WAY
Mailing Address - Street 2:#109
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3655
Mailing Address - Country:US
Mailing Address - Phone:303-923-3160
Mailing Address - Fax:
Practice Address - Street 1:5975 S QUEBEC ST
Practice Address - Street 2:SUITE 141
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4564
Practice Address - Country:US
Practice Address - Phone:720-489-0343
Practice Address - Fax:720-489-0385
Is Sole Proprietor?:No
Enumeration Date:2010-04-18
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2828225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand