Individual
JACLYN LEFEBVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(608) 249-2137
Mailing address
5511 MCGANN LN, #104, FITCHBURG, WI 53711-4953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5293-26
WI
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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