Provider Demographics
NPI:1790910370
Name:FELLOWS-REINHARDT, TINA DAWN (OTR)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:DAWN
Last Name:FELLOWS-REINHARDT
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 1:8895 W OHIO PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4270
Mailing Address - Country:US
Mailing Address - Phone:303-437-4724
Mailing Address - Fax:
Practice Address - Street 1:8895 W OHIO PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4270
Practice Address - Country:US
Practice Address - Phone:303-437-4724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist