Provider Demographics
NPI:1609114289
Name:HASSON, JILL (DPT)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:HASSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9703 QUAY LOOP
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021-4098
Mailing Address - Country:US
Mailing Address - Phone:720-314-1231
Mailing Address - Fax:
Practice Address - Street 1:9703 QUAY LOOP
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4098
Practice Address - Country:US
Practice Address - Phone:720-314-1231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPT-0010058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist