Organization · Type 2 NPI

Buck Jack LLC

Occupational Therapist · Colorado Springs, CO

NPI number 1104424423 Active

Practice location

3625 Citadel Dr S
Colorado Springs, CO 80909-5320

Call (719) 597-0822 Map

Fax (719) 599-4606

Mailing address

2233 Academy Pl Ste 200
Colorado Springs, CO 80909-1666

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst	103K00000X	None listed
Psychologist	103T00000X	None listed
Physical Therapist	225100000X	None listed
Occupational Therapist Primary	225X00000X	None listed
Speech-Language Pathologist	235Z00000X	None listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1104424423

Buck Jack LLC's National Provider Identifier is 1104424423, issued on Oct 9, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Colorado Springs, CO. The record was last updated on Feb 28, 2024.