Provider Demographics
NPI:1457833022
Name:FRANCO, JESSICA JOAN (MOT, OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:JOAN
Last Name:FRANCO
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 ZANG ST STE 212
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80021-8224
Mailing Address - Country:US
Mailing Address - Phone:346-291-5853
Mailing Address - Fax:
Practice Address - Street 1:520 ZANG ST STE 212
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80021-8224
Practice Address - Country:US
Practice Address - Phone:346-291-5853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0005572225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist