Individual
JACQUELINE ANN BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
435 HIGH STREET, LYONS, CO 80540
(303) 823-8813
(303) 823-2355
Mailing address
PO BOX 1960, LYONS, CO 80540-1960
(303) 823-8813
(303) 823-2355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA261388
CO
Other
Enumeration date
07/10/2008
Last updated
10/27/2009
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