Provider Demographics
NPI:1801161930
Name:HENN, BRIDGET (OTR/L)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:HENN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 S NEWCOMBE ST UNIT 4101
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-5698
Mailing Address - Country:US
Mailing Address - Phone:908-294-0727
Mailing Address - Fax:
Practice Address - Street 1:3230 S NEWCOMBE ST UNIT 4101
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5698
Practice Address - Country:US
Practice Address - Phone:908-294-0727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-22
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016818225X00000X
CO0005024225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist