Individual provider · Type 1 NPI

Jackie Lynette Roberson

Occupational Therapist · Pueblo, CO

NPI number 1114484110 Active

Practice location

3727 Parker Blvd
Pueblo, CO 81008-2218

Call (719) 585-3400 Map

Mailing address

5302 Artistic Cir
Colorado Springs, CO 80917-2212

Other practice locations

  • 8540 Scarborough Dr Ste 200, Colorado Springs, CO 80920-7513 · (719) 630-7500

Specialties and licenses

TaxonomyCodeLicense
Registered Respiratory Therapist 227900000XRTL.0005892 (CO)
Occupational Therapist Primary 225X00000XOT.0005855 (CO)

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…

5 other providers at this address

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About NPI 1114484110

Jackie Lynette Roberson's National Provider Identifier is 1114484110, issued on Feb 26, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pueblo, CO. The record was last updated on Dec 27, 2019.