Organization · Type 2 NPI

Buck Jack LLC

Occupational Therapist · Pueblo, CO

NPI number 1376141572 Active

Practice location

1321 S Prairie Ave
Pueblo, CO 81005-2307

Call (719) 597-0822 Map

Fax (719) 599-4606

Mailing address

685 Citadel Dr E Ste 580
Colorado Springs, CO 80909-5381

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 1376141572

Buck Jack LLC's National Provider Identifier is 1376141572, issued on Oct 12, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pueblo, CO. The record was last updated on Oct 12, 2020.