Provider Demographics
NPI:1366633158
Name:PETERSON, HILLARY NICOLE (OTR)
Entity Type:Individual
Prefix:MISS
First Name:HILLARY
Middle Name:NICOLE
Last Name:PETERSON
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 1:1745 WAZEE ST
Mailing Address - Street 2:4D
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-5967
Mailing Address - Country:US
Mailing Address - Phone:303-862-4745
Mailing Address - Fax:
Practice Address - Street 1:1745 WAZEE ST
Practice Address - Street 2:4D
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5967
Practice Address - Country:US
Practice Address - Phone:303-862-4745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist