Individual
MRS. JACQUELINE DEANNA KNOWLES
Active
Individual
MRS. JACQUELINE DEANNA KNOWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CCM
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
00046254
OH
225X00000X
Occupational Therapist
Primary
OT - 001165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT - 001165
LICENSED OT
OH
Enumeration date
02/09/2007
Last updated
09/11/2025
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