Provider Demographics
NPI:1811871734
Name:PETERS, JACQUELINE DELIA (OTR, OTD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:DELIA
Last Name:PETERS
Suffix:
Gender:F
Credentials:OTR, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 N PENNSYLVANIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3145
Mailing Address - Country:US
Mailing Address - Phone:806-632-0017
Mailing Address - Fax:
Practice Address - Street 1:11211 E ARAPAHOE RD STE 118
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3851
Practice Address - Country:US
Practice Address - Phone:720-791-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0008994225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist