Jacqueline Susan Ness COTA

NPI 1336299965 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1336299965
Gender Female
Enumeration Date 01/12/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
245 SYCAMORE ST
SAUK CITY WI, 53583-1013, US
Phone (608) 643-3383
Fax
Business Location
702 AUGUSTA DR
WAUNAKEE WI, 53597-2243, US
Phone (608) 850-9072
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 1980-027
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According to our database, Mrs. Jacqueline Susan Ness COTA NPI is 1336299965, taxonomy code is 224Z00000X and license number is 1980-027, license state is located at Wisconsin. Jacqueline Susan Ness COTA physically located at 245 Sycamore St, Sauk City WI, 53583-1013. NPI Number Jacqueline Susan Ness COTA has the Individual type.

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1336299965 NPI number is provided on an as is basis without warranty of any kind. 1336299965 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline Susan Ness COTA are for informational purposes only.