Provider Demographics
NPI:1114358314
Name:ARRIAGA, JENNIFER JUDITH (COTA)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:JUDITH
Last Name:ARRIAGA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:422 E TENNESSEE AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4142
Mailing Address - Country:US
Mailing Address - Phone:303-949-4899
Mailing Address - Fax:
Practice Address - Street 1:422 E TENNESSEE AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4142
Practice Address - Country:US
Practice Address - Phone:303-949-4899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1038160224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant