Provider Demographics
NPI:1063527760
Name:HAMILL, PEGGY (OTR)
Entity type:Individual
Prefix:
First Name:PEGGY
Middle Name:
Last Name:HAMILL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3165 S NEWPORT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-2819
Mailing Address - Country:US
Mailing Address - Phone:303-320-4450
Mailing Address - Fax:303-320-6668
Practice Address - Street 1:400 S COLORADO BLVD
Practice Address - Street 2:STE 640
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1253
Practice Address - Country:US
Practice Address - Phone:303-320-4450
Practice Address - Fax:303-320-6668
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAA439919225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist