Individual
JESSICA ANN KAUZLARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9605
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000806
IA
Other
Enumeration date
10/22/2010
Last updated
03/04/2013
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