Jackie Lynette Roberson

NPI #1114484110 in Pueblo, Colorado

Provider Information

NPI Number: 1114484110
Entity Type: Individual
Name: Jackie Lynette Roberson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 26, 2019
Last Updated: Dec 27, 2019

Practice Location

Address: 3727 PARKER BLVD
City: Pueblo
State: Colorado
ZIP Code: 81008-2218
Phone: (719) 585-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respiratory Therapist, Registered	227900000X
Occupational Therapist	225X00000X	Primary

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