Individual provider · Type 1 NPI
Jacke Khantivong, OTR/L
Occupational Therapist · Denver, CO
Practice location
1247 S Race St
Denver, CO 80210-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 003380 (CT) |
| Occupational Therapist Primary | 225X00000X | 2191 (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…
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About NPI 1619114485
Jacke Khantivong, OTR/L's National Provider Identifier is 1619114485, issued on Jan 14, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Denver, CO. The record was last updated on Aug 31, 2010.