Organization · Type 2 NPI

Buck Jack LLC

Occupational Therapist · Cannon City, CO

NPI number 1508472317 Active

Practice location

Mountain View Core Knowledge School, 890 Field Ave
Cannon City, CO 81212-9250

Fax (719) 599-4606

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000XNone listed
Occupational Therapist Primary 225X00000XNone listed
Speech-Language Pathologist 235Z00000XNone 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 1508472317

Buck Jack LLC's National Provider Identifier is 1508472317, issued on Sep 17, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Cannon City, CO. The record was last updated on Oct 1, 2020.