JILLENE MCMINN BLACK

BROOMFIELD, CO
NPI1891941431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CO  AA439869)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: CO  0278321)
Enumeration Date2008-08-14
Last Update Date2008-08-14
Business Address
-- JILLENE MCMINN BLACK OTR
1145 E 13TH AVE
BROOMFIELD, CO 80020-1301
Phone number: 303-466-6308
Mailing Address
-- JILLENE MCMINN BLACK OTR
1145 E 13TH AVE
BROOMFIELD, CO 80020-1301
Phone number: 303-466-6308