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NPI Code Detail

MEDICARE: JILL LOFTUS OTR/L

MEDICARE: JILL LOFTUS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist3816CO

General Provider Information

NPI Number : 1043453186
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL LOFTUS OTR/L
Provider Business Mailing Address
First Line : 3127 W 20TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-4601
Country : US
Telephone Number : 646-483-8719
Fax Number :
Provider Business Practice Location Address
First Line : 3127 W 20TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-4601
Country : US
Telephone Number : 646-483-8719
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2009
Last Update Date : 01/07/2014

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Directions to “ JILL LOFTUS OTR/L” Practice Location

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