Individual
JACQUELYN FISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7034 WINTER RIDGE LN, CASTLE ROCK, CO 80108-3662
(303) 722-8897
Mailing address
7034 WINTER RIDGE LN, CASTLE ROCK, CO 80108-3662
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
3028
CO
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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