Individual
DR. JAYNA NIBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, OTD, OTR/L, BCP
Contact information
Practice address
6911 S YOSEMITE ST, CENTENNIAL, CO 80112-1426
(303) 221-7827
Mailing address
6182 S JACKSON GAP CT, AURORA, CO 80016-2797
(712) 790-0250
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
077800
IA
Other
Enumeration date
02/11/2013
Last updated
08/07/2023
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