Provider Demographics
NPI:1104283373
Name:HUBBELL, JILLIAN SCHNEIDER (OTR)
Entity type:Individual
Prefix:MRS
First Name:JILLIAN
Middle Name:SCHNEIDER
Last Name:HUBBELL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:JILLIAN
Other - Middle Name:MARIE
Other - Last Name:SCHNEIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2627 ZENOBIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-1532
Mailing Address - Country:US
Mailing Address - Phone:617-827-0027
Mailing Address - Fax:
Practice Address - Street 1:7200 E QUINCY AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2255
Practice Address - Country:US
Practice Address - Phone:303-221-9611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-19
Last Update Date:2019-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0002729225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist