Individual
JESSE MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
561 E GARDEN DR UNIT B, WINDSOR, CO 80550-3149
(630) 768-5947
Mailing address
561 E GARDEN DR UNIT B, WINDSOR, CO 80550-3149
(630) 768-5947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0004212
CO
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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