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NPI Code Detail

MEDICARE: JILL CHAMBERS

MEDICARE: JILL CHAMBERS
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 TherapistOT.0004372CO

General Provider Information

NPI Number : 1164050209
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL CHAMBERS
Provider Business Mailing Address
First Line : 1401 7TH ST
Second Line :
City : PIERCE
State : CO
Zip : 80650-1147
Country : US
Telephone Number : 509-378-4912
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S LEMAY AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80524-4262
Country : US
Telephone Number : 970-495-8780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 04/01/2020

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Directions to “ JILL CHAMBERS ” Practice Location

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