Basic Information
| Provider Information | |||||||||
| NPI: | 1669033247 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | PFEIFER | ||||||||
| FirstName: | HANNAH | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7268 WESTERNER DR | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809223148 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 17230 JACKSON CREEK PKWY STE 220 | ||||||||
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| City: | MONUMENT | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801327304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194883348 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/25/2019 | ||||||||
| LastUpdateDate: | 11/18/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XP0200X | OT.0006006 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics |
No ID Information.