Individual
JESSICA FAY REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7550 S BLACKHAWK ST APT 2307, ENGLEWOOD, CO 80112-4075
(913) 982-7945
Mailing address
7550 S BLACKHAWK ST APT 2307, ENGLEWOOD, CO 80112-4075
(913) 982-7945
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000142570
—
CO
Enumeration date
07/11/2019
Last updated
01/11/2022
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