Provider Demographics
NPI:1790190171
Name:MARETE, JANE
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:MARETE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3234 S NEWCOMBE ST UNIT 5201
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6701
Mailing Address - Country:US
Mailing Address - Phone:520-903-8643
Mailing Address - Fax:
Practice Address - Street 1:3232 S NEWCOMBE ST UNIT 5201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80227-5699
Practice Address - Country:US
Practice Address - Phone:520-903-8643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-24
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4011225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist