Provider Demographics
NPI:1053898049
Name:HUNT, DEANN MAE (OTR/L)
Entity type:Individual
Prefix:
First Name:DEANN
Middle Name:MAE
Last Name:HUNT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:DEEDEE
Other - Middle Name:
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2248 SILVER OAKS DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6428
Mailing Address - Country:US
Mailing Address - Phone:970-226-6522
Mailing Address - Fax:
Practice Address - Street 1:2248 SILVER OAKS DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6428
Practice Address - Country:US
Practice Address - Phone:970-226-6522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-23
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0005363225XH1200X, 225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics