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Individual

JENNIFER FAIKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
29036 PINE RD, EVERGREEN, CO 80439-7429
(303) 709-8757
Mailing address
29036 PINE RD, EVERGREEN, CO 80439-7429
(303) 709-8757

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1074566
OR
225X00000X
Occupational Therapist
1860
AK
225X00000X
Occupational Therapist
Primary
OT.0004358
CO

Other

Enumeration date
06/04/2013
Last updated
01/18/2023
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