Individual
MRS. JACLYN M FOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1178
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056010899
IL
225X00000X
Occupational Therapist
Primary
5676-26
WI
Other
Enumeration date
12/16/2015
Last updated
12/17/2015
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