Mrs Nina Marie Perez Jackson, MOT,OTR/L is a
Occupational Therapist based in Livermore, Colorado. Mrs Nina Marie Perez Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1311 Granite Canyon Rd, Livermore, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 416-1398.
NPI number for Mrs Nina Marie Perez Jackson is 1831232818 and her current mailing address is 1311 Granite Canyon Rd, Livermore, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831232818.
Healthcare Provider's Profile
| Full Name | Mrs Nina Marie Perez Jackson |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 1311 Granite Canyon Rd, Livermore, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1831232818
- Provider Enumeration Date: 02/15/2007
- Last Update Date: 11/05/2013
Medical Identifiers
Medical identifiers for Mrs Nina Marie Perez Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831232818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nina Marie Perez Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Nina Marie Perez Jackson, MOT,OTR/L
1311 Granite Canyon Rd,
Livermore, CO 80536-7646
Ph: () - | Mrs Nina Marie Perez Jackson, MOT,OTR/L
1311 Granite Canyon Rd,
Livermore, CO 80536-7646
Ph: (970) 416-1398 |
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