Search › Colorado › 225X00000X
Jillene Black, OTR
NPI 1891941431 · on the registry since 2008
Practice
- Address
- 1145 E 13th Ave
Broomfield, CO 80020 - Phone
- (303) 466-6308
- Fax
- (303) 466-1224
- Organisation at this address
- Bal Swan Children'S Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 225X00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-08-14
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