Individual
JILL DENISE ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1610 DRY CREEK DR, LONGMONT, CO 80503-6405
(303) 772-1600
(970) 493-0521
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
(970) 493-0521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C066615
MEDICARE GROUP NUMBER
CO
Enumeration date
05/22/2008
Last updated
07/14/2021
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