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Individual

JACQUELIN K POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, MOTR

Contact information

Practice address
6631 E 2ND ST, CASPER, WY 82609-4355
(307) 268-9904
(307) 268-9907
Mailing address
6631 E 2ND ST, CASPER, WY 82609-4355
(307) 268-9904
(307) 268-9907

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR-1144
WY

Other

Enumeration date
07/21/2015
Last updated
01/02/2018
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