Provider Demographics
NPI:1760756704
Name:SAUDER, HILARY (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:
Last Name:SAUDER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:MARIE
Other - Last Name:LUTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3427 DINOSAUR ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109
Mailing Address - Country:US
Mailing Address - Phone:717-606-5518
Mailing Address - Fax:
Practice Address - Street 1:3427 DINOSAUR ST
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109
Practice Address - Country:US
Practice Address - Phone:717-606-5518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012203225X00000X
COOT.0003810225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist