Provider Demographics
NPI:1770156390
Name:REDINGER, HANNAH SUE (COTA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:SUE
Last Name:REDINGER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 WASHINGTON ST APT A216
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80229-2010
Mailing Address - Country:US
Mailing Address - Phone:715-214-7843
Mailing Address - Fax:
Practice Address - Street 1:7700 W 101ST AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-4004
Practice Address - Country:US
Practice Address - Phone:303-465-0504
Practice Address - Fax:720-573-4550
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001481224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant