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

JILLENE MCMINN BLACK, OTR

Active

JILLENE MCMINN BLACK, OTR is a Occupational Therapist healthcare provider located in BROOMFIELD, Colorado. NPI 1891941431 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BROOMFIELD, CO

Registration Details

NPI Number
1891941431
Provider Type
Individual
Gender
Female
NPI Issued
Aug 14, 2008 (17.963966752962 yrs)
Last Updated
Aug 14, 2008
Licenses
AA439869 (CO)
0278321 (CO)

Practice Information

Address
1145 E 13TH AVE
BROOMFIELD, CO, 800201301
Browse CO providers · Browse ZIP 80020
Phone
3034666308
Fax
3034661224
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in BROOMFIELD, CO

Name Credential NPI
LORETTA L O'DELL 1659505295
ERICA R MERCER OTR 1093012023
CARINA SORENSON OTR/L 1215229521
LAUREN KAYE BRAATEN OTR/L 1023306131
SHELLY STARK OTR 1558606509
MR. ADAM KOSOFSKY OTR/L 1609296755
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.