Individual
JESSICA LYNN MARQUARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3401 S LAFAYETTE ST, ENGLEWOOD, CO 80113-2926
(303) 761-0075
Mailing address
3401 S LAFAYETTE ST, ENGLEWOOD, CO 80113-2926
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
312734
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312734
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
CO
Enumeration date
10/03/2013
Last updated
10/03/2013
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