Individual
JENNIFER IVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8540 SCARBOROUGH DR STE 200, COLORADO SPRINGS, CO 80920-7513
(719) 314-2308
Mailing address
8540 SCARBOROUGH DR STE 200, COLORADO SPRINGS, CO 80920-7513
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.0000563
CO
224Z00000X
Occupational Therapy Assistant
OTP-OTA-LIC-1035
MT
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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