Organization
JUMP UP O.T. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN CALDWELL MCCRACKEN OTR (OWNER)
(970) 412-1563
Entity
Organization
Contact information
Practice address
1931 BOISE AVE, LOVELAND, CO 80538-4295
(970) 412-1563
Mailing address
3162 SILVER LEAF DR, LOVELAND, CO 80538-2852
(970) 412-1563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1909
CO
Other
Enumeration date
02/17/2009
Last updated
04/20/2009
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