Individual
JACQUELYN ROSE FEUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1067
Mailing address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 291-1067
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
500026
WI
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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