DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE LYNETTE ROBERSON

Active

JACKIE LYNETTE ROBERSON is a Occupational Therapist healthcare provider located in PUEBLO, Colorado. NPI 1114484110 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · PUEBLO, CO

Registration Details

NPI Number
1114484110
Provider Type
Individual
Gender
Female
NPI Issued
Feb 26, 2019 (7.502657918374 yrs)
Last Updated
Dec 27, 2019
Licenses
RTL.0005892 (CO)
OT.0005855 (CO)

Practice Information

Address
3727 PARKER BLVD
PUEBLO, CO, 810082218
Browse CO providers · Browse ZIP 81008
Phone
7195853400
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in PUEBLO, CO

Name Credential NPI
ELLEN L. CORNETT OTR 1063457331
HEATHER A. FREITAG 1376589416
SHARON L. GLADMAN OTR 1730125659
DARCY L. STEWART 1538198064
BEVERLY A. BAILEY 1780609909
MR. ROBERT CHAD MADRILL O.T.R. 1417030925
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.