Individual
BLU JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8301 E PRENTICE AVE, GREENWOOD VILLAGE, CO 80111-2903
(303) 322-8500
Mailing address
7723 E COSTILLA BLVD, CENTENNIAL, CO 80112-1213
(303) 596-5677
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA0000358
CO
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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