Provider Demographics
NPI:1679776868
Name:HILL, MARJORIE ELLEN (OTR)
Entity type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:ELLEN
Last Name:HILL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:MARJORIE
Other - Middle Name:ELLEN
Other - Last Name:SPANIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:11636 ROAD 283
Mailing Address - Street 2:
Mailing Address - City:DOLORES
Mailing Address - State:CO
Mailing Address - Zip Code:81323-8915
Mailing Address - Country:US
Mailing Address - Phone:303-909-6578
Mailing Address - Fax:
Practice Address - Street 1:11636 ROAD 28.3
Practice Address - Street 2:
Practice Address - City:DOLORES
Practice Address - State:CO
Practice Address - Zip Code:81323-8915
Practice Address - Country:US
Practice Address - Phone:303-909-6578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2562225XG0600X
CO1298225XG0600X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology