Individual
INGRID SCHWANTES JACKOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2502 SILVERSIDE RD STE 4, WILMINGTON, DE 19810-3740
(302) 478-3702
(302) 478-3703
Mailing address
112 GREAT CIRCLE RD, NEWARK, DE 19711-2334
(302) 235-1434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC004045L
PA
225X00000X
Occupational Therapist
Primary
U1-0000111
DE
Other
Enumeration date
10/11/2017
Last updated
03/17/2018
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