Provider Demographics
NPI:1346865821
Name:HADLAND, REGINA MARIE (OTR)
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:MARIE
Last Name:HADLAND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:MARIE
Other - Last Name:HOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:4900 S ULSTER ST APT 2-111
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2880
Mailing Address - Country:US
Mailing Address - Phone:832-364-5174
Mailing Address - Fax:
Practice Address - Street 1:19284 COTTONWOOD DR STE 203
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3881
Practice Address - Country:US
Practice Address - Phone:720-788-7365
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-10
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120713225X00000X
COOT.0008048225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist