SearchColoradoOccupational Therapist

Jacke Khantivong, OTR/L

NPI 1619114485 · on the registry since 2009 · sole proprietor

Practice

Address
1247 S Race St
Denver, CO 80210
Phone
(860) 306-1384

Registry record

Primary taxonomy
Occupational Therapist
225X00000X
Also registered as
Occupational Therapist
Licence states on file
CT, CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2010-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado