Individual
JACQUELINE KOHTZ
Active
Individual
JACQUELINE KOHTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
693
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02478
BLUE CROSS, BLUE SHIELD
NE
05
—
10025566800
—
NE
Enumeration date
03/27/2007
Last updated
10/21/2014
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